Derrik Porter Walton in Cody - General Practice
Derrik Porter Walton - NPI 1013017136
Derrik Porter Walton is a General Practice in Cody, . Derrik Porter Walton practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derrik Porter Walton is 1013017136. The last update date is 2007-07-09.
Derrik Porter Walton's current location address is 1525 Bleistein Ave, Cody, . You can contact this provider via phone number 3075872951 and fax number 3075872760. The mailing address for Derrik Porter Walton is 1525 Bleistein Ave, Cody, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrik Porter Walton |
|---|---|
| Address | 1525 Bleistein Ave, Cody, |
| Phone Number | 3075872951 |
| Fax Number | 3075872760 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1013017136 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1525 Bleistein Ave |
|---|---|
| City | Cody |
| State | (WY) |
| Post Code | 824143806 |
| Phone Number | 3075872951 |
| Fax Number | 3075872760 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1008 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Derrik Porter Walton's 1013017136?
The Derrik Porter Walton's NPI (National Provider Identifier) Number is 1013017136. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Derrik Porter Walton located?
The Derrik Porter Walton is located at 1525 Bleistein Ave, Cody, WY 824143806.
What is the area of specialization for Derrik Porter Walton, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Derrik Porter Walton is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Derrik Porter Walton receive its 1013017136 assignment from the Centers for Medicare & Medicaid Services?
The Derrik Porter Walton was assigned its 1013017136 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information regarding Derrik Porter Walton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derrik Porter Walton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN