William Portilla in Duluth - Otolaryngology
William Portilla - NPI 1649215674
William Portilla is a Otolaryngology in Duluth, Minnesota. William Portilla practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for William Portilla is 1649215674. The last update date is 2007-07-08.
William Portilla's current location address is 400 E 3rd St, Duluth, Minnesota. You can contact this provider via phone number 2187868364. The mailing address for William Portilla is 400 E 3rd St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Portilla |
|---|---|
| Address | 400 E 3rd St, Duluth, Minnesota |
| Phone Number | 2187868364 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649215674 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 E 3rd St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558051951 |
| Phone Number | 2187868364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 26755 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 446207600 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William Portilla by the Centers for Medicare & Medicaid Services (CMS)?
The William Portilla has been assigned the NPI (National Provider Identifier) 1649215674. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the William Portilla's physical address?
The William Portilla is physically located at 400 E 3Rd St, in the city of Duluth, MN, with the postal code 558051951.
What is William Portilla's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William Portilla's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649215674 to William Portilla?
The Centers for Medicare & Medicaid Services assigned the 1649215674 to William Portilla on 2006-06-16.
As of what date were the details related to William Portilla most recently updated or revised?
The information pertaining to William Portilla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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