Larry W. Payne in Petaluma - Independent Duty Medical Technicians
Larry W. Payne - NPI 1679732143
Larry W. Payne is a Independent Duty Medical Technicians in Petaluma, California. Larry W. Payne practices all healthcare services and medical treatments related to Independent Duty Medical Technicians. The NPI Number for Larry W. Payne is 1679732143. The last update date is 2008-06-09.
Larry W. Payne's current location address is 599 Tomales Rd, Petaluma, California. You can contact this provider via phone number 7077657275 and fax number 7077657495. The mailing address for Larry W. Payne is 599 Tomales Rd, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry W. Payne |
|---|---|
| Address | 599 Tomales Rd, Petaluma, California |
| Phone Number | 7077657275 |
| Fax Number | 7077657495 |
| Sole Proprietor | N |
| Credentials | HEALTH SER |
NPI Number Detail
| NPI Number | 1679732143 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-09 |
Provider Mailing Address Detail
| Address | 599 Tomales Rd |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949525002 |
| Phone Number | 7077657275 |
| Fax Number | 7077657495 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Medical Technicians |
|---|---|
| Taxonomy | 1710I1003X |
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Definition: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health ca |
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What is the Larry W. Payne's unique identification number?
The Larry W. Payne has been assigned the NPI (National Provider Identifier) Number 1679732143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Larry W. Payne's facilities are geographically located?
The facilities of Larry W. Payne are physically situated at the following location: 599 Tomales Rd, Petaluma, CA, 949525002.
What is the area of specialization for Larry W. Payne, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry W. Payne is Independent Duty Medical Technicians, and the corresponding taxonomy code that categorizes this area of expertise is 1710I1003X.
On what date was the 1679732143 assigned to Larry W. Payne?
The Larry W. Payne was issued its 1679732143 on 2008-06-09, 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 Larry W. Payne's details last updated?
The information pertaining to the Larry W. Payne, including its address, specialty, and other details, was most recently updated on 2008-06-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY