Randall Leo Tolocko in Bishop - General Practice
Randall Leo Tolocko - NPI 1619067048
Randall Leo Tolocko is a General Practice in Bishop, California. Randall Leo Tolocko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randall Leo Tolocko is 1619067048. The last update date is 2007-07-08.
Randall Leo Tolocko's current location address is 306 E Line St, Bishop, California. You can contact this provider via phone number 7608735191 and fax number 7608734040. The mailing address for Randall Leo Tolocko is 306 E Line St, Bishop, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Leo Tolocko |
|---|---|
| Address | 306 E Line St, Bishop, California |
| Phone Number | 7608735191 |
| Fax Number | 7608734040 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1619067048 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 306 E Line St |
|---|---|
| City | Bishop |
| State | California (CA) |
| Post Code | 935143504 |
| Phone Number | 7608735191 |
| Fax Number | 7608734040 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 31717 |
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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 unique identifier code issued to Randall Leo Tolocko by the Centers for Medicare & Medicaid Services (CMS)?
The Randall Leo Tolocko has been assigned the NPI (National Provider Identifier) 1619067048. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Randall Leo Tolocko's physical address?
The Randall Leo Tolocko is physically located at 306 E Line St, in the city of Bishop, CA, with the postal code 935143504.
What is Randall Leo Tolocko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Leo Tolocko's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date was the 1619067048 assigned to Randall Leo Tolocko?
The Randall Leo Tolocko was issued its 1619067048 on 2006-10-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Randall Leo Tolocko last refreshed?
The information related to the Randall Leo Tolocko, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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