Mary R. Idso is a Internal Medicine in Oakland, California. Mary R. Idso practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary R. Idso is 1851477384. The last update date is 2007-07-08.
Mary R. Idso's current location address is 1800 Harrison St Fl 7, Oakland, California. You can contact this provider via phone number 5106256262. The mailing address for Mary R. Idso is 1800 Harrison St Fl 7, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary R. Idso |
|---|---|
| Address | 1800 Harrison St Fl 7, Oakland, California |
| Phone Number | 5106256262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851477384 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1800 Harrison St Fl 7 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946123429 |
| Phone Number | 5106256262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G36933 |
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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 |
|---|---|---|---|
| 00G369330 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary R. Idso by the Centers for Medicare & Medicaid Services?
The Mary R. Idso has been issued the NPI (National Provider Identifier) 1851477384, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary R. Idso is physically located?
The Mary R. Idso is physically situated at the following address: 1800 Harrison St Fl 7, Oakland, CA, 946123429.
What is the Mary R. Idso's specialty and taxonomy code?
The Mary R. Idso's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did Mary R. Idso receive its 1851477384 assignment from the Centers for Medicare & Medicaid Services?
The Mary R. Idso was assigned its 1851477384 on 2006-10-27, 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 details related to Mary R. Idso most recently updated or revised?
The information pertaining to Mary R. Idso, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.