Dana Ray Ideen is a Family Medicine in Casper, . Dana Ray Ideen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dana Ray Ideen is 1558375477. The last update date is 2007-07-08.
Dana Ray Ideen's current location address is 1315 E A St, Casper, . You can contact this provider via phone number 3072358552 and fax number 3072354656. The mailing address for Dana Ray Ideen is 1315 E A St, Casper, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana Ray Ideen |
|---|---|
| Address | 1315 E A St, Casper, |
| Phone Number | 3072358552 |
| Fax Number | 3072354656 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558375477 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1315 E A St |
|---|---|
| City | Casper |
| State | (WY) |
| Post Code | 826012212 |
| Phone Number | 3072358552 |
| Fax Number | 3072354656 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3742A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104037500 | WY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dana Ray Ideen by the Centers for Medicare & Medicaid Services (CMS)?
The Dana Ray Ideen has been assigned the NPI (National Provider Identifier) 1558375477. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Dana Ray Ideen is geographically located?
The Dana Ray Ideen is physically situated at the following location: 1315 E A St, Casper, WY, 826012212.
What is the Dana Ray Ideen's specialty and taxonomy code?
The Dana Ray Ideen's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Dana Ray Ideen receive its 1558375477 assignment from the Centers for Medicare & Medicaid Services?
The Dana Ray Ideen was assigned its 1558375477 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Dana Ray Ideen most recently updated or revised?
The details related to Dana Ray Ideen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.