Lifestages Ob-Gyn Pllc in Nampa - Obstetrics & Gynecology

Lifestages Ob-Gyn Pllc - NPI 1871618892

Lifestages Ob-Gyn Pllc is a Obstetrics & Gynecology in Nampa, Idaho. Lifestages Ob-Gyn Pllc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Lifestages Ob-Gyn Pllc is 1871618892. The last update date is 2013-04-22.

Lifestages Ob-Gyn Pllc's current location address is 1611 12th Ave Rd B, Nampa, Idaho. You can contact this provider via phone number 2084428035 and fax number 2084428038. The mailing address for Lifestages Ob-Gyn Pllc is 1611 12th Ave Rd B, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lifestages Ob-Gyn Pllc
Address 1611 12th Ave Rd B, Nampa, Idaho
Phone Number 2084428035
Fax Number 2084428038
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hughes Dustan
Credentials M.D.
Telephone Number 2084428038

NPI Number Detail

NPI Number 1871618892
Provider Enumeration Date 2007-03-20
Last Updated Date 2013-04-22

Provider Mailing Address Detail

Address 1611 12th Ave Rd B
City Nampa
State Idaho (ID)
Post Code 83686
Phone Number 2084428035
Fax Number 2084428038

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No M8055
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
806575300 ID --
806339500 ID --
807138400 ID --

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FAQs about Lifestages Ob-Gyn Pllc

What is the Lifestages Ob-Gyn Pllc's 1871618892?

The Lifestages Ob-Gyn Pllc's NPI (National Provider Identifier) Number is 1871618892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lifestages Ob-Gyn Pllc's facilities are situated?

The facilities of Lifestages Ob-Gyn Pllc are physically located at the following address: 1611 12Th Ave Rd B, Nampa, ID, 83686.

What is Lifestages Ob-Gyn Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lifestages Ob-Gyn Pllc is Obstetrics & Gynecology, and the corresponding taxonomy classification code for this specialized field is 207V00000X.

On what date did the Lifestages Ob-Gyn Pllc receive its 1871618892 assignment from the Centers for Medicare & Medicaid Services?

The Lifestages Ob-Gyn Pllc was assigned its 1871618892 by the Centers for Medicare & Medicaid Services on 2007-03-20.

As of what date was the information regarding Lifestages Ob-Gyn Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lifestages Ob-Gyn Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-22.

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