Donald Minor in Petaluma - Specialist

Donald Minor - NPI 1467416743

Donald Minor is a Specialist in Petaluma, California. Donald Minor practices all healthcare services and medical treatments related to Specialist. The NPI Number for Donald Minor is 1467416743. The last update date is 2008-11-12.

Donald Minor's current location address is Po Box 750607, Petaluma, California. You can contact this provider via phone number 7077623507 and fax number 7077958352. The mailing address for Donald Minor is Po Box 750607, Petaluma, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Minor
Address Po Box 750607, Petaluma, California
Phone Number 7077623507
Fax Number 7077958352
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1467416743
Provider Enumeration Date 2006-04-13
Last Updated Date 2008-11-12

Provider Mailing Address Detail

Address Po Box 750607
City Petaluma
State California (CA)
Post Code 949750607
Phone Number 7077623507
Fax Number 7077958352

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G28979
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G00028979 CA --

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FAQs about Donald Minor

What is the Donald Minor's 1467416743?

The Donald Minor's NPI (National Provider Identifier) Number is 1467416743. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Donald Minor's facilities are situated?

The facilities of Donald Minor are physically located at the following address: Po Box 750607, Petaluma, CA, 949750607.

What is Donald Minor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Donald Minor's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Donald Minor receive its 1467416743 assignment from the Centers for Medicare & Medicaid Services?

The Donald Minor was assigned its 1467416743 by the Centers for Medicare & Medicaid Services on 2006-04-13.

When was the Donald Minor's information last updated?

The Donald Minor's information was last updated on 2008-11-12.

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