Versatile Medicine Pllc in Avondale - Internal Medicine
Versatile Medicine Pllc - NPI 1326145608
Versatile Medicine Pllc is a Internal Medicine in Avondale, Arizona. Versatile Medicine Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Versatile Medicine Pllc is 1326145608. The last update date is 2015-06-08.
Versatile Medicine Pllc's current location address is 13055 W Mcdowell Rd, Avondale, Arizona. You can contact this provider via phone number 6239758400 and fax number 6239352975. The mailing address for Versatile Medicine Pllc is 13055 W Mcdowell Rd, Avondale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Versatile Medicine Pllc |
|---|---|
| Address | 13055 W Mcdowell Rd, Avondale, Arizona |
| Phone Number | 6239758400 |
| Fax Number | 6239352975 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Nichols A Kathleen |
| Credentials | M.D. |
| Telephone Number | 6239758400 |
NPI Number Detail
| NPI Number | 1326145608 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 13055 W Mcdowell Rd |
|---|---|
| City | Avondale |
| State | Arizona (AZ) |
| Post Code | 853926449 |
| Phone Number | 6239758400 |
| Fax Number | 6239352975 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | AZ26993 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0761300 | AZ | BLUE CROSS BLUE SHIELD | |
| AZ0765500 | AZ | BLUE CROSS BLUE SHIELD | |
| 517675 | AZ | -- | |
| 486581001 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Versatile Medicine Pllc by the Centers for Medicare & Medicaid Services?
The Versatile Medicine Pllc has been issued the NPI (National Provider Identifier) 1326145608, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Versatile Medicine Pllc is geographically located?
The Versatile Medicine Pllc is physically situated at the following location: 13055 W Mcdowell Rd, Avondale, AZ, 853926449.
What is Versatile Medicine Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Versatile Medicine Pllc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Versatile Medicine Pllc receive its 1326145608 assignment from the Centers for Medicare & Medicaid Services?
The Versatile Medicine Pllc was assigned its 1326145608 by the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details related to Versatile Medicine Pllc most recently updated or revised?
The information pertaining to Versatile Medicine Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-08.