David Moan Trettin in Monroe - Sports Medicine
David Moan Trettin - NPI 1902881758
David Moan Trettin is a Sports Medicine in Monroe, Louisiana. David Moan Trettin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David Moan Trettin is 1902881758. The last update date is 2010-02-16.
David Moan Trettin's current location address is 1501 Louisville Ave, Monroe, Louisiana. You can contact this provider via phone number 3183238451 and fax number 3183612613. The mailing address for David Moan Trettin is 1501 Louisville Ave, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Moan Trettin |
|---|---|
| Address | 1501 Louisville Ave, Monroe, Louisiana |
| Phone Number | 3183238451 |
| Fax Number | 3183612613 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902881758 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2010-02-16 |
Provider Mailing Address Detail
| Address | 1501 Louisville Ave |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712016025 |
| Phone Number | 3183238451 |
| Fax Number | 3183612613 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD.08355R |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1384411 | LA | -- |
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What is the unique identification code assigned to David Moan Trettin by the Centers for Medicare & Medicaid Services?
The David Moan Trettin has been issued the NPI (National Provider Identifier) 1902881758. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Moan Trettin's physical address?
The David Moan Trettin is physically located at 1501 Louisville Ave, in the city of Monroe, LA, with the postal code 712016025.
What is the David Moan Trettin's specialty and taxonomy code?
The David Moan Trettin's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the David Moan Trettin receive its 1902881758 assignment from the Centers for Medicare & Medicaid Services?
The David Moan Trettin was assigned its 1902881758 by the Centers for Medicare & Medicaid Services on 2005-12-14.
When was the information pertaining to David Moan Trettin most recently updated or revised?
The details related to David Moan Trettin, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-16.