David D Shupe is a Family Medicine in Moscow, Idaho. David D Shupe practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David D Shupe is 1306819115. The last update date is 2007-10-04.
David D Shupe's current location address is 623 S Main St, Moscow, Idaho. You can contact this provider via phone number 2088822011 and fax number 2088831853. The mailing address for David D Shupe is 623 S Main St, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David D Shupe |
|---|---|
| Address | 623 S Main St, Moscow, Idaho |
| Phone Number | 2088822011 |
| Fax Number | 2088831853 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306819115 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 623 S Main St |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838432983 |
| Phone Number | 2088822011 |
| Fax Number | 2088831853 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M4366 |
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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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What is the unique 10-digit identification code assigned to David D Shupe by the Centers for Medicare & Medicaid Services?
The David D Shupe has been issued the NPI (National Provider Identifier) 1306819115, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David D Shupe located?
The David D Shupe is located at 623 S Main St, Moscow, ID 838432983.
What is the David D Shupe's specialty and taxonomy code?
The David D Shupe's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did David D Shupe receive its 1306819115 assignment from the Centers for Medicare & Medicaid Services?
The David D Shupe was assigned its 1306819115 on 2006-02-10, 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 David D Shupe most recently updated or revised?
The details related to David D Shupe, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-04.
NPI Number: 1215930425
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