Wayne Julian Spector in Ketchum - General Practice
Wayne Julian Spector - NPI 1861600330
Wayne Julian Spector is a General Practice in Ketchum, Idaho. Wayne Julian Spector practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne Julian Spector is 1861600330. The last update date is 2007-07-08.
Wayne Julian Spector's current location address is Po Box 4591, Ketchum, Idaho. You can contact this provider via phone number 2087267559. The mailing address for Wayne Julian Spector is Po Box 4591, Ketchum, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Julian Spector |
|---|---|
| Address | Po Box 4591, Ketchum, Idaho |
| Phone Number | 2087267559 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1861600330 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 4591 |
|---|---|
| City | Ketchum |
| State | Idaho (ID) |
| Post Code | 833404591 |
| Phone Number | 2087267559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-1762 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CS4867 | ID | ID STATE BOARD OF PHARMAC | |
| D-1762 | ID | ID STATE BOARD OF DENTIST |
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What is the unique identifier code issued to Wayne Julian Spector by the Centers for Medicare & Medicaid Services (CMS)?
The Wayne Julian Spector has been assigned the NPI (National Provider Identifier) 1861600330. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Wayne Julian Spector located?
The Wayne Julian Spector is located at Po Box 4591, Ketchum, ID 833404591.
What is Wayne Julian Spector's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wayne Julian Spector is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When was the Wayne Julian Spector's 1861600330 issued?
The Wayne Julian Spector's 1861600330 was issued on 2007-05-18.
As of what date were the Wayne Julian Spector's details last updated?
The information pertaining to the Wayne Julian Spector, including its address, specialty, and other details, was most recently updated on 2007-07-08.