Bryan Reed Medaris in Nampa - General Practice
Bryan Reed Medaris - NPI 1174673222
Bryan Reed Medaris is a General Practice in Nampa, Idaho. Bryan Reed Medaris practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bryan Reed Medaris is 1174673222. The last update date is 2007-07-08.
Bryan Reed Medaris's current location address is 4411 E Flamingo Ave, Nampa, Idaho. You can contact this provider via phone number 2084663597 and fax number 2084668147. The mailing address for Bryan Reed Medaris is 4411 E Flamingo Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Reed Medaris |
|---|---|
| Address | 4411 E Flamingo Ave, Nampa, Idaho |
| Phone Number | 2084663597 |
| Fax Number | 2084668147 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174673222 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4411 E Flamingo Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836873113 |
| Phone Number | 2084663597 |
| Fax Number | 2084668147 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3814 |
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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 10-digit identifier code assigned to Bryan Reed Medaris by the Centers for Medicare & Medicaid Services?
The Bryan Reed Medaris has been issued the NPI (National Provider Identifier) 1174673222 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bryan Reed Medaris is geographically located?
The Bryan Reed Medaris is physically situated at the following location: 4411 E Flamingo Ave, Nampa, ID, 836873113.
What is Bryan Reed Medaris's area of expertise and its corresponding taxonomy classification?
The Bryan Reed Medaris's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did Bryan Reed Medaris receive its 1174673222 assignment?
The Bryan Reed Medaris was assigned its 1174673222 on 2007-01-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bryan Reed Medaris last refreshed?
The information related to the Bryan Reed Medaris, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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