Stacy D Conville in Ruston - Family Medicine
Stacy D Conville - NPI 1497702880
Stacy D Conville is a Family Medicine in Ruston, Louisiana. Stacy D Conville practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stacy D Conville is 1497702880. The last update date is 2014-03-17.
Stacy D Conville's current location address is 401 E Vaughn Ave, Ruston, Louisiana. You can contact this provider via phone number 3182518232 and fax number 3182518255. The mailing address for Stacy D Conville is 401 E Vaughn Ave, Ruston, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy D Conville |
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Address | 401 E Vaughn Ave, Ruston, Louisiana |
Phone Number | 3182518232 |
Fax Number | 3182518255 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1497702880 |
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Provider Enumeration Date | 2006-05-30 |
Last Updated Date | 2014-03-17 |
Provider Mailing Address Detail
Address | 401 E Vaughn Ave |
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City | Ruston |
State | Louisiana (LA) |
Post Code | 712705950 |
Phone Number | 3182518232 |
Fax Number | 3182518255 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 26106 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1052931 | LA | -- |
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What is the unique provider identifier assigned to Stacy D Conville?
The Stacy D Conville has been issued the NPI (National Provider Identifier) 1497702880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stacy D Conville's facilities are geographically located?
The facilities of Stacy D Conville are physically situated at the following location: 401 E Vaughn Ave, Ruston, LA, 712705950.
What is Stacy D Conville's area of expertise and its corresponding taxonomy classification?
The Stacy D Conville's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Stacy D Conville receive its 1497702880 assignment from the Centers for Medicare & Medicaid Services?
The Stacy D Conville was assigned its 1497702880 on 2006-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stacy D Conville most recently updated or refreshed?
The details pertaining to the Stacy D Conville, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY