Staci M Hestdalen in Spokane Valley - Dermatology
Staci M Hestdalen - NPI 1194790006
Staci M Hestdalen is a Dermatology in Spokane Valley, Washington. Staci M Hestdalen practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Staci M Hestdalen is 1194790006. The last update date is 2019-08-13.
Staci M Hestdalen's current location address is 1807 N Hutchinson Rd, Spokane Valley, Washington. You can contact this provider via phone number 5094567414 and fax number 5096240763. The mailing address for Staci M Hestdalen is 1807 N Hutchinson Rd, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci M Hestdalen |
|---|---|
| Address | 1807 N Hutchinson Rd, Spokane Valley, Washington |
| Phone Number | 5094567414 |
| Fax Number | 5096240763 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194790006 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2019-08-13 |
Provider Mailing Address Detail
| Address | 1807 N Hutchinson Rd |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992122444 |
| Phone Number | 5094567414 |
| Fax Number | 5096240763 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | MD00043715 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8394454 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Staci M Hestdalen by the Centers for Medicare & Medicaid Services?
The Staci M Hestdalen has been issued the NPI (National Provider Identifier) 1194790006, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Staci M Hestdalen is physically located?
The Staci M Hestdalen is situated at the following address: 1807 N Hutchinson Rd, Spokane Valley, WA 992122444.
What is the area of specialization for Staci M Hestdalen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Staci M Hestdalen is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194790006 to Staci M Hestdalen?
The Centers for Medicare & Medicaid Services assigned the 1194790006 to Staci M Hestdalen on 2006-02-22.
As of what date were the details pertaining to Staci M Hestdalen last refreshed?
The information related to the Staci M Hestdalen, including its address, specialty, and other relevant details, was last updated on 2019-08-13.