Thomas Ryan Magra in Fort Campbell - Military Health Care Provider
Thomas Ryan Magra - NPI 1063560183
Thomas Ryan Magra is a Military Health Care Provider in Fort Campbell, Kentucky. Thomas Ryan Magra practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Thomas Ryan Magra is 1063560183. The last update date is 2013-09-23.
Thomas Ryan Magra's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2704612333. The mailing address for Thomas Ryan Magra is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Ryan Magra |
|---|---|
| Address | 650 Joel Dr, Fort Campbell, Kentucky |
| Phone Number | 2704612333 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063560183 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2013-09-23 |
Provider Mailing Address Detail
| Address | 650 Joel Dr |
|---|---|
| City | Fort Campbell |
| State | Kentucky (KY) |
| Post Code | 422235318 |
| Phone Number | 2704612333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 101240248 |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas Ryan Magra?
The Thomas Ryan Magra has been issued the NPI (National Provider Identifier) 1063560183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Thomas Ryan Magra's physical address?
The Thomas Ryan Magra is physically located at 650 Joel Dr, in the city of Fort Campbell, KY, with the postal code 422235318.
What is the Thomas Ryan Magra's specialty and taxonomy code?
The Thomas Ryan Magra's specialty is Military Health Care Provider, and the corresponding taxonomy code is 171000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063560183 to Thomas Ryan Magra?
The Centers for Medicare & Medicaid Services originally issued the 1063560183 to Thomas Ryan Magra on 2007-01-08.
As of what date were the details related to Thomas Ryan Magra most recently updated or revised?
The information pertaining to Thomas Ryan Magra, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-23.