Robert Douglas Teasdall in Winston Salem - Orthopaedic Trauma

Robert Douglas Teasdall - NPI 1720062110

Robert Douglas Teasdall is a Orthopaedic Trauma in Winston Salem, North Carolina. Robert Douglas Teasdall practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Robert Douglas Teasdall is 1720062110. The last update date is 2010-11-15.

Robert Douglas Teasdall's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367168018. The mailing address for Robert Douglas Teasdall is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Douglas Teasdall
Address Po Box 344, Winston Salem, North Carolina
Phone Number 3367162255
Fax Number 3367168018
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720062110
Provider Enumeration Date 2005-11-30
Last Updated Date 2010-11-15

Provider Mailing Address Detail

Address Po Box 344
City Winston Salem
State North Carolina (NC)
Post Code 271020344
Phone Number 3367162255
Fax Number 3367168018

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Trauma
Taxonomy 207Xx0801X
Licence No 36840
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200043871 RR MEDICARE
202306000 WV --
5871109 AETNA
6401643 VA --
Q36842 SC --
8982321 NC --
4996 PARTNERS
46439 MEDCOST
82321 BCBS

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FAQs about Robert Douglas Teasdall

What is the unique provider identifier assigned to Robert Douglas Teasdall?

The Robert Douglas Teasdall has been issued the NPI (National Provider Identifier) 1720062110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Robert Douglas Teasdall is located?

The Robert Douglas Teasdall is situated at the following address: Po Box 344, Winston Salem, NC, 271020344.

What is Robert Douglas Teasdall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Douglas Teasdall is Orthopaedic Trauma, and the taxonomy classification code that categorizes this area of expertise is 207Xx0801X.

On what date was the 1720062110 assigned to Robert Douglas Teasdall?

The Robert Douglas Teasdall was issued its 1720062110 on 2005-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Robert Douglas Teasdall last refreshed?

The information related to the Robert Douglas Teasdall, including its address, specialty, and other relevant details, was last updated on 2010-11-15.

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