Robert P Didier in Santa Rosa - Specialist

Robert P Didier - NPI 1780805671

Robert P Didier is a Specialist in Santa Rosa, California. Robert P Didier practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert P Didier is 1780805671. The last update date is 2007-07-08.

Robert P Didier's current location address is 2305 Mendocino Ave Ste A, Santa Rosa, California. You can contact this provider via phone number 7075251501 and fax number 7075250315. The mailing address for Robert P Didier is 2305 Mendocino Ave Ste A, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert P Didier
Address 2305 Mendocino Ave Ste A, Santa Rosa, California
Phone Number 7075251501
Fax Number 7075250315
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1780805671
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2305 Mendocino Ave Ste A
City Santa Rosa
State California (CA)
Post Code 954033157
Phone Number 7075251501
Fax Number 7075250315

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 22065
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.

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FAQs about Robert P Didier

What is the unique 10-digit identification code assigned to Robert P Didier by the Centers for Medicare & Medicaid Services?

The Robert P Didier has been issued the NPI (National Provider Identifier) 1780805671, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Robert P Didier is physically located?

The Robert P Didier is physically situated at the following address: 2305 Mendocino Ave Ste A, Santa Rosa, CA, 954033157.

What is the Robert P Didier's specialty and taxonomy code?

The Robert P Didier's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780805671 to Robert P Didier?

The Centers for Medicare & Medicaid Services assigned the 1780805671 to Robert P Didier on 2007-05-01.

As of what date was the information regarding Robert P Didier, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert P Didier, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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