Travis Wade Dierks in Seattle - Emergency Medical Services

Travis Wade Dierks - NPI 1982820965

Travis Wade Dierks is a Emergency Medical Services in Seattle, Washington. Travis Wade Dierks practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Travis Wade Dierks is 1982820965. The last update date is 2010-08-05.

Travis Wade Dierks's current location address is Po Box 34640, Seattle, Washington. You can contact this provider via phone number 5094585800 and fax number 5084734916. The mailing address for Travis Wade Dierks is Po Box 34640, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Travis Wade Dierks
Address Po Box 34640, Seattle, Washington
Phone Number 5094585800
Fax Number 5084734916
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1982820965
Provider Enumeration Date 2007-04-18
Last Updated Date 2010-08-05

Provider Mailing Address Detail

Address Po Box 34640
City Seattle
State Washington (WA)
Post Code 981241640
Phone Number 5094585800
Fax Number 5084734916

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No MD60009256
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
808064500 ID --
8515561 WA --
1982820965 MT --
1982820965 ID --
1982820965 WA --
500622449 OR --

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FAQs about Travis Wade Dierks

What is the unique 10-digit identification code assigned to Travis Wade Dierks by the Centers for Medicare & Medicaid Services?

The Travis Wade Dierks has been issued the NPI (National Provider Identifier) 1982820965, 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 Travis Wade Dierks is physically located?

The Travis Wade Dierks is situated at the following address: Po Box 34640, Seattle, WA 981241640.

What is the Travis Wade Dierks's area of specialization and corresponding taxonomy classification?

The Travis Wade Dierks's specialty field is Emergency Medical Services, and it falls under the taxonomy code 207Pe0004X, which categorizes healthcare providers based on their specialties.

When did Travis Wade Dierks receive its 1982820965 assignment?

The Travis Wade Dierks was assigned its 1982820965 on 2007-04-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Travis Wade Dierks last refreshed?

The information related to the Travis Wade Dierks, including its address, specialty, and other relevant details, was last updated on 2010-08-05.

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