Mary Susan Zickefoose in Canon City - Family Medicine
Mary Susan Zickefoose - NPI 1972647147
Mary Susan Zickefoose is a Family Medicine in Canon City, Colorado. Mary Susan Zickefoose practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary Susan Zickefoose is 1972647147. The last update date is 2013-09-05.
Mary Susan Zickefoose's current location address is 571 Taylor Trl, Canon City, Colorado. You can contact this provider via phone number 7192756200. The mailing address for Mary Susan Zickefoose is 571 Taylor Trl, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Susan Zickefoose |
|---|---|
| Address | 571 Taylor Trl, Canon City, Colorado |
| Phone Number | 7192756200 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972647147 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2013-09-05 |
Provider Mailing Address Detail
| Address | 571 Taylor Trl |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812123600 |
| Phone Number | 7192756200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 41337 |
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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 |
|---|---|---|---|
| 97958557 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Susan Zickefoose?
The Mary Susan Zickefoose has been issued the NPI (National Provider Identifier) 1972647147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mary Susan Zickefoose's physical address?
The Mary Susan Zickefoose is physically located at 571 Taylor Trl, in the city of Canon City, CO, with the postal code 812123600.
What is Mary Susan Zickefoose's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Susan Zickefoose's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972647147 to Mary Susan Zickefoose?
The Centers for Medicare & Medicaid Services assigned the 1972647147 to Mary Susan Zickefoose on 2007-02-19.
When was the information regarding Mary Susan Zickefoose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Susan Zickefoose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-09-05.