Jeremy Wade Van Gieson in Puyallup - Family Medicine
Jeremy Wade Van Gieson - NPI 1265640767
Jeremy Wade Van Gieson is a Family Medicine in Puyallup, Washington. Jeremy Wade Van Gieson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeremy Wade Van Gieson is 1265640767. The last update date is 2016-01-25.
Jeremy Wade Van Gieson's current location address is 3908 10th St Se, Puyallup, Washington. You can contact this provider via phone number 2538485951 and fax number 2538457073. The mailing address for Jeremy Wade Van Gieson is 3908 10th St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Wade Van Gieson |
|---|---|
| Address | 3908 10th St Se, Puyallup, Washington |
| Phone Number | 2538485951 |
| Fax Number | 2538457073 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1265640767 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2016-01-25 |
Provider Mailing Address Detail
| Address | 3908 10th St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983742188 |
| Phone Number | 2538485951 |
| Fax Number | 2538457073 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OP60200199 |
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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 provider identifier assigned to Jeremy Wade Van Gieson?
The Jeremy Wade Van Gieson has been issued the NPI (National Provider Identifier) 1265640767 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jeremy Wade Van Gieson?
The Jeremy Wade Van Gieson is situated at 3908 10Th St Se, in the city of Puyallup, state of WA, with the zip code 983742188.
What is Jeremy Wade Van Gieson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Wade Van Gieson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Jeremy Wade Van Gieson receive its 1265640767 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Wade Van Gieson was assigned its 1265640767 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeremy Wade Van Gieson's details last updated?
The information pertaining to the Jeremy Wade Van Gieson, including its address, specialty, and other details, was most recently updated on 2016-01-25.