Bradley K Walgren in Laramie - General Practice

Bradley K Walgren - NPI 1093749145

Bradley K Walgren is a General Practice in Laramie, . Bradley K Walgren practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley K Walgren is 1093749145. The last update date is 2017-02-16.

Bradley K Walgren's current location address is 3421 E Garfield, Laramie, . You can contact this provider via phone number 3077458513 and fax number 3077450263. The mailing address for Bradley K Walgren is 3421 E Garfield, Laramie, . To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley K Walgren
Address 3421 E Garfield, Laramie,
Phone Number 3077458513
Fax Number 3077450263
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1093749145
Provider Enumeration Date 2006-07-11
Last Updated Date 2017-02-16

Provider Mailing Address Detail

Address 3421 E Garfield
City Laramie
State (WY)
Post Code 82070
Phone Number 3077458513
Fax Number 3077450263

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 921
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
112311400 WY --

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FAQs about Bradley K Walgren

What is the unique identifier code issued to Bradley K Walgren by the Centers for Medicare & Medicaid Services?

The Bradley K Walgren has been assigned the NPI (National Provider Identifier) 1093749145. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bradley K Walgren is physically located?

The Bradley K Walgren is physically situated at the following address: 3421 E Garfield, Laramie, WY, 82070.

What is Bradley K Walgren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bradley K Walgren's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Bradley K Walgren receive its 1093749145 assignment from the Centers for Medicare & Medicaid Services?

The Bradley K Walgren was assigned its 1093749145 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Bradley K Walgren, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bradley K Walgren, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-16.

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