Randall T Hermann in Ketchum - Internal Medicine

Randall T Hermann - NPI 1619034188

Randall T Hermann is a Internal Medicine in Ketchum, Idaho. Randall T Hermann practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Randall T Hermann is 1619034188. The last update date is 2007-07-08.

Randall T Hermann's current location address is Po Box 1204, Ketchum, Idaho. You can contact this provider via phone number 2087269781 and fax number 2087261377. The mailing address for Randall T Hermann is Po Box 1204, Ketchum, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall T Hermann
Address Po Box 1204, Ketchum, Idaho
Phone Number 2087269781
Fax Number 2087261377
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619034188
Provider Enumeration Date 2007-01-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1204
City Ketchum
State Idaho (ID)
Post Code 833401204
Phone Number 2087269781
Fax Number 2087261377

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No M4140
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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FAQs about Randall T Hermann

What is the unique provider identifier assigned to Randall T Hermann?

The Randall T Hermann has been issued the NPI (National Provider Identifier) 1619034188 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Randall T Hermann is geographically located?

The Randall T Hermann is physically situated at the following location: Po Box 1204, Ketchum, ID, 833401204.

What is Randall T Hermann's area of expertise and its corresponding taxonomy classification?

The Randall T Hermann's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Randall T Hermann receive the assignment of its 1619034188 from the Centers for Medicare & Medicaid Services?

The Randall T Hermann was issued its 1619034188 by the Centers for Medicare & Medicaid Services on 2007-01-03.

As of what date were the details pertaining to Randall T Hermann last refreshed?

The information related to the Randall T Hermann, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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