David Reed Hadlock in Twin Falls - Addiction Medicine
David Reed Hadlock - NPI 1629101928
David Reed Hadlock is a Addiction Medicine in Twin Falls, Idaho. David Reed Hadlock practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for David Reed Hadlock is 1629101928. The last update date is 2012-02-06.
David Reed Hadlock's current location address is 496 C Shoup Ave W, Twin Falls, Idaho. You can contact this provider via phone number 2087350000 and fax number 2087341717. The mailing address for David Reed Hadlock is 496 C Shoup Ave W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Reed Hadlock |
|---|---|
| Address | 496 C Shoup Ave W, Twin Falls, Idaho |
| Phone Number | 2087350000 |
| Fax Number | 2087341717 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629101928 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 496 C Shoup Ave W |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833014563 |
| Phone Number | 2087350000 |
| Fax Number | 2087341717 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | O-163 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4312000 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Reed Hadlock by the Centers for Medicare & Medicaid Services?
The David Reed Hadlock has been assigned the NPI (National Provider Identifier) 1629101928. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David Reed Hadlock is located?
The David Reed Hadlock is situated at the following address: 496 C Shoup Ave W, Twin Falls, ID, 833014563.
What is David Reed Hadlock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Reed Hadlock is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0401X.
On what date did the David Reed Hadlock receive the assignment of its 1629101928 from the Centers for Medicare & Medicaid Services?
The David Reed Hadlock was issued its 1629101928 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date was the information pertaining to David Reed Hadlock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Reed Hadlock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-06.