Larry Gideon, M D in Memphis - Family Medicine
Larry Gideon, M D - NPI 1255533386
Larry Gideon, M D is a Family Medicine in Memphis, Michigan. Larry Gideon, M D practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry Gideon, M D is 1255533386. The last update date is 2020-08-22.
Larry Gideon, M D's current location address is 609 Bunnell M 19, Memphis, Michigan. You can contact this provider via phone number 8103922192. The mailing address for Larry Gideon, M D is 609 Bunnell M 19, Memphis, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry Gideon, M D |
|---|---|
| Address | 609 Bunnell M 19, Memphis, Michigan |
| Phone Number | 8103922192 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gideon Larry |
| Credentials | M D |
| Telephone Number | 8103922192 |
NPI Number Detail
| NPI Number | 1255533386 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 609 Bunnell M 19 |
|---|---|
| City | Memphis |
| State | Michigan (MI) |
| Post Code | 48041 |
| Phone Number | 8103922192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | LG407549 |
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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 |
|---|---|---|---|
| LG407549 | MI | STATE LICENCE |
Post Comment/ Review Below
What is the unique identification code assigned to Larry Gideon, M D by the Centers for Medicare & Medicaid Services?
The Larry Gideon, M D has been issued the NPI (National Provider Identifier) 1255533386. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry Gideon, M D?
The Larry Gideon, M D is situated at 609 Bunnell M 19, in the city of Memphis, state of MI, with the zip code 48041.
What is Larry Gideon, M D's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry Gideon, M D is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Larry Gideon, M D receive the assignment of its 1255533386 from the Centers for Medicare & Medicaid Services?
The Larry Gideon, M D was issued its 1255533386 by the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date were the details related to Larry Gideon, M D most recently updated or revised?
The information pertaining to Larry Gideon, M D, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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