Charles Tyler Reidhead in Whiteriver - Internal Medicine

Charles Tyler Reidhead - NPI 1912913716

Charles Tyler Reidhead is a Internal Medicine in Whiteriver, Arizona. Charles Tyler Reidhead practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles Tyler Reidhead is 1912913716. The last update date is 2008-12-15.

Charles Tyler Reidhead's current location address is Po Box 860, Whiteriver, Arizona. You can contact this provider via phone number 9283384911 and fax number 9283381122. The mailing address for Charles Tyler Reidhead is Po Box 860, Whiteriver, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Tyler Reidhead
Address Po Box 860, Whiteriver, Arizona
Phone Number 9283384911
Fax Number 9283381122
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912913716
Provider Enumeration Date 2006-08-01
Last Updated Date 2008-12-15

Provider Mailing Address Detail

Address Po Box 860
City Whiteriver
State Arizona (AZ)
Post Code 859410860
Phone Number 9283384911
Fax Number 9283381122

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 25107
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1780614008 AZ --
1295993376 AZ --
1629236716 AZ --
1871523191 AZ --
409856 AZ --

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FAQs about Charles Tyler Reidhead

What is the unique identifier code issued to Charles Tyler Reidhead by the Centers for Medicare & Medicaid Services (CMS)?

The Charles Tyler Reidhead has been assigned the NPI (National Provider Identifier) 1912913716. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Charles Tyler Reidhead's facilities are geographically located?

The facilities of Charles Tyler Reidhead are physically situated at the following location: Po Box 860, Whiteriver, AZ, 859410860.

What is the Charles Tyler Reidhead's area of specialization and corresponding taxonomy classification?

The Charles Tyler Reidhead's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1912913716 assigned to Charles Tyler Reidhead?

The Charles Tyler Reidhead was issued its 1912913716 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Tyler Reidhead, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Tyler Reidhead, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-15.

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