Marc L Aversa is a Family Medicine in Puyallup, Washington. Marc L Aversa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marc L Aversa is 1447291984. The last update date is 2015-12-04.
Marc L Aversa's current location address is 3908 10th St Se, Puyallup, Washington. You can contact this provider via phone number 2538485951 and fax number 2538648954. The mailing address for Marc L Aversa is 3908 10th St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc L Aversa |
|---|---|
| Address | 3908 10th St Se, Puyallup, Washington |
| Phone Number | 2538485951 |
| Fax Number | 2538648954 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447291984 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2015-12-04 |
Provider Mailing Address Detail
| Address | 3908 10th St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983742188 |
| Phone Number | 2538485951 |
| Fax Number | 2538648954 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00036487 |
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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 |
|---|---|---|---|
| 8934624 | WA | LABOR AND INDUSTRIES VOC | |
| AV3788 | WA | REGENCE RIDER | |
| 80151299 | WA | MEDICARE RAIL ROAD | |
| 8240954 | WA | -- | |
| 128730 | WA | LABOR AND INDUSTRIES | |
| 5091691 | WA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marc L Aversa by the Centers for Medicare & Medicaid Services?
The Marc L Aversa has been assigned the NPI (National Provider Identifier) 1447291984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Marc L Aversa's facilities are situated?
The facilities of Marc L Aversa are physically located at the following address: 3908 10Th St Se, Puyallup, WA, 983742188.
What is the Marc L Aversa's specialty and taxonomy code?
The Marc L Aversa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Marc L Aversa receive its 1447291984?
The Marc L Aversa was issued its 1447291984 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Marc L Aversa most recently updated or revised?
The information pertaining to Marc L Aversa, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-04.