Daniel R. Prideaux in Missoula - Sports Physician
Daniel R. Prideaux - NPI 1851496467
Daniel R. Prideaux is a Sports Physician in Missoula, Montana. Daniel R. Prideaux practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Daniel R. Prideaux is 1851496467. The last update date is 2007-07-08.
Daniel R. Prideaux's current location address is 1001 Sw Higgins Ave, Missoula, Montana. You can contact this provider via phone number 4067214425 and fax number 4067214426. The mailing address for Daniel R. Prideaux is 1001 Sw Higgins Ave, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel R. Prideaux |
|---|---|
| Address | 1001 Sw Higgins Ave, Missoula, Montana |
| Phone Number | 4067214425 |
| Fax Number | 4067214426 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1851496467 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 Sw Higgins Ave |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598031341 |
| Phone Number | 4067214425 |
| Fax Number | 4067214426 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 437 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4142-0 | MT | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Daniel R. Prideaux by the Centers for Medicare & Medicaid Services?
The Daniel R. Prideaux has been assigned the NPI (National Provider Identifier) 1851496467 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Daniel R. Prideaux is geographically located?
The Daniel R. Prideaux is physically situated at the following location: 1001 Sw Higgins Ave, Missoula, MT, 598031341.
What is Daniel R. Prideaux's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Daniel R. Prideaux is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
When was the Daniel R. Prideaux's 1851496467 issued?
The Daniel R. Prideaux's 1851496467 was issued on 2006-09-14.
When was the information related to Daniel R. Prideaux most recently updated or refreshed?
The details pertaining to the Daniel R. Prideaux, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.