Mona Mynnel Tara in Grants Pass - Internal Medicine
Mona Mynnel Tara - NPI 1770572380
Mona Mynnel Tara is a Internal Medicine in Grants Pass, Oregon. Mona Mynnel Tara practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mona Mynnel Tara is 1770572380. The last update date is 2010-12-01.
Mona Mynnel Tara's current location address is 714 Nw 5th St, Grants Pass, Oregon. You can contact this provider via phone number 5412442292 and fax number 5412442292. The mailing address for Mona Mynnel Tara is 714 Nw 5th St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mona Mynnel Tara |
|---|---|
| Address | 714 Nw 5th St, Grants Pass, Oregon |
| Phone Number | 5412442292 |
| Fax Number | 5412442292 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770572380 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2010-12-01 |
Provider Mailing Address Detail
| Address | 714 Nw 5th St |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975261529 |
| Phone Number | 5412442292 |
| Fax Number | 5412442292 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD15235 |
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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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What is the unique identification code assigned to Mona Mynnel Tara by the Centers for Medicare & Medicaid Services?
The Mona Mynnel Tara has been issued the NPI (National Provider Identifier) 1770572380. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mona Mynnel Tara located?
The Mona Mynnel Tara is located at 714 Nw 5Th St, Grants Pass, OR 975261529.
What is Mona Mynnel Tara's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mona Mynnel Tara's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770572380 to Mona Mynnel Tara?
The Mona Mynnel Tara received its 1770572380 assignment from the Centers for Medicare & Medicaid Services on 2005-10-17.
As of what date were the details pertaining to Mona Mynnel Tara last refreshed?
The information related to the Mona Mynnel Tara, including its address, specialty, and other relevant details, was last updated on 2010-12-01.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD