Tristan M. Mcgovern in Port Angeles - Sports Medicine
Tristan M. Mcgovern - NPI 1215981774
Tristan M. Mcgovern is a Sports Medicine in Port Angeles, Washington. Tristan M. Mcgovern practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tristan M. Mcgovern is 1215981774. The last update date is 2016-04-20.
Tristan M. Mcgovern's current location address is 832 Georgiana St, Port Angeles, Washington. You can contact this provider via phone number 3604570804 and fax number 3604577023. The mailing address for Tristan M. Mcgovern is 832 Georgiana St, Port Angeles, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tristan M. Mcgovern |
|---|---|
| Address | 832 Georgiana St, Port Angeles, Washington |
| Phone Number | 3604570804 |
| Fax Number | 3604577023 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215981774 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2016-04-20 |
Provider Mailing Address Detail
| Address | 832 Georgiana St |
|---|---|
| City | Port Angeles |
| State | Washington (WA) |
| Post Code | 983623512 |
| Phone Number | 3604570804 |
| Fax Number | 3604577023 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD00038097 |
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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 |
|---|---|---|---|
| 200040914 | RAILROAD MEDICARE | ||
| 8250219 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tristan M. Mcgovern by the Centers for Medicare & Medicaid Services?
The Tristan M. Mcgovern has been issued the NPI (National Provider Identifier) 1215981774, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tristan M. Mcgovern?
The Tristan M. Mcgovern is physically situated at 832 Georgiana St, in the city of Port Angeles, state of WA, with the postal code 983623512.
What is the Tristan M. Mcgovern's specialty and taxonomy code?
The Tristan M. Mcgovern's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215981774 to Tristan M. Mcgovern?
The Tristan M. Mcgovern received its 1215981774 assignment from the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information regarding Tristan M. Mcgovern, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tristan M. Mcgovern, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-04-20.