Ross Brigham Dastrup in South Jordan - Emergency Medicine

Ross Brigham Dastrup - NPI 1902023773

Ross Brigham Dastrup is a Emergency Medicine in South Jordan, Utah. Ross Brigham Dastrup practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Ross Brigham Dastrup is 1902023773. The last update date is 2010-10-01.

Ross Brigham Dastrup's current location address is Po Box 95970, South Jordan, Utah. You can contact this provider via phone number 8013529500 and fax number 8013529502. The mailing address for Ross Brigham Dastrup is Po Box 95970, South Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Ross Brigham Dastrup
Address Po Box 95970, South Jordan, Utah
Phone Number 8013529500
Fax Number 8013529502
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902023773
Provider Enumeration Date 2007-04-20
Last Updated Date 2010-10-01

Provider Mailing Address Detail

Address Po Box 95970
City South Jordan
State Utah (UT)
Post Code 840950970
Phone Number 8013529500
Fax Number 8013529502

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 7536235-1205
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1902023773 UT --

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FAQs about Ross Brigham Dastrup

What is the unique 10-digit identifier code assigned to Ross Brigham Dastrup by the Centers for Medicare & Medicaid Services?

The Ross Brigham Dastrup has been issued the NPI (National Provider Identifier) 1902023773 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ross Brigham Dastrup's facilities are geographically located?

The facilities of Ross Brigham Dastrup are physically situated at the following location: Po Box 95970, South Jordan, UT, 840950970.

What is Ross Brigham Dastrup's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ross Brigham Dastrup is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

On what date was the 1902023773 assigned to Ross Brigham Dastrup?

The Ross Brigham Dastrup was issued its 1902023773 on 2007-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Ross Brigham Dastrup, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-01.

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