Brock Leonard Eide in Edmonds - Internal Medicine
Brock Leonard Eide - NPI 1528133816
Brock Leonard Eide is a Internal Medicine in Edmonds, Washington. Brock Leonard Eide practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Brock Leonard Eide is 1528133816. The last update date is 2007-07-08.
Brock Leonard Eide's current location address is 6701 139th Pl Sw, Edmonds, Washington. You can contact this provider via phone number 4257422218 and fax number 4257428115. The mailing address for Brock Leonard Eide is 6701 139th Pl Sw, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock Leonard Eide |
|---|---|
| Address | 6701 139th Pl Sw, Edmonds, Washington |
| Phone Number | 4257422218 |
| Fax Number | 4257428115 |
| Sole Proprietor | N |
| Credentials | M.D. M.A. |
NPI Number Detail
| NPI Number | 1528133816 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6701 139th Pl Sw |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980263223 |
| Phone Number | 4257422218 |
| Fax Number | 4257428115 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 39835 |
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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 identifier code issued to Brock Leonard Eide by the Centers for Medicare & Medicaid Services?
The Brock Leonard Eide has been assigned the NPI (National Provider Identifier) 1528133816. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brock Leonard Eide is located?
The Brock Leonard Eide is situated at the following address: 6701 139Th Pl Sw, Edmonds, WA, 980263223.
What is the Brock Leonard Eide's area of specialization and corresponding taxonomy classification?
The Brock Leonard Eide'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 did the Centers for Medicare & Medicaid Services assign the 1528133816 to Brock Leonard Eide?
The Centers for Medicare & Medicaid Services assigned the 1528133816 to Brock Leonard Eide on 2006-11-21.
As of what date were the Brock Leonard Eide's details last updated?
The information pertaining to the Brock Leonard Eide, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA