Gordon Troy Prairie in Fort Polk - Family Medicine
Gordon Troy Prairie - NPI 1992776991
Gordon Troy Prairie is a Family Medicine in Fort Polk, Louisiana. Gordon Troy Prairie practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gordon Troy Prairie is 1992776991. The last update date is 2018-06-21.
Gordon Troy Prairie's current location address is 5509 Gardner Dr Apt B, Fort Polk, Louisiana. You can contact this provider via phone number 3375373976. The mailing address for Gordon Troy Prairie is 5509 Gardner Dr Apt B, Fort Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Troy Prairie |
|---|---|
| Address | 5509 Gardner Dr Apt B, Fort Polk, Louisiana |
| Phone Number | 3375373976 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992776991 |
|---|---|
| Provider Enumeration Date | 2006-01-28 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 5509 Gardner Dr Apt B |
|---|---|
| City | Fort Polk |
| State | Louisiana (LA) |
| Post Code | 714593435 |
| Phone Number | 3375373976 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M9250 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Gordon Troy Prairie by the Centers for Medicare & Medicaid Services (CMS)?
The Gordon Troy Prairie has been assigned the NPI (National Provider Identifier) 1992776991. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Gordon Troy Prairie is physically located?
The Gordon Troy Prairie is situated at the following address: 5509 Gardner Dr Apt B, Fort Polk, LA 714593435.
What is Gordon Troy Prairie's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gordon Troy Prairie is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When was the Gordon Troy Prairie's 1992776991 issued?
The Gordon Troy Prairie's 1992776991 was issued on 2006-01-28.
As of what date were the Gordon Troy Prairie's details last updated?
The information pertaining to the Gordon Troy Prairie, including its address, specialty, and other details, was most recently updated on 2018-06-21.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC