Matthew David Proctor in The Dalles - Otolaryngology
Matthew David Proctor - NPI 1932127412
Matthew David Proctor is a Otolaryngology in The Dalles, Oregon. Matthew David Proctor practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Matthew David Proctor is 1932127412. The last update date is 2011-01-25.
Matthew David Proctor's current location address is 1815 E 19th St, The Dalles, Oregon. You can contact this provider via phone number 5412985563 and fax number 5412987746. The mailing address for Matthew David Proctor is 1815 E 19th St, The Dalles, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Proctor |
|---|---|
| Address | 1815 E 19th St, The Dalles, Oregon |
| Phone Number | 5412985563 |
| Fax Number | 5412987746 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932127412 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 1815 E 19th St |
|---|---|
| City | The Dalles |
| State | Oregon (OR) |
| Post Code | 970583385 |
| Phone Number | 5412985563 |
| Fax Number | 5412987746 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 36708 |
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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 |
|---|---|---|---|
| 274607 | OR | -- | |
| 831523003 | OR | REGENCE BLUE CROSS | |
| 8491839 | WA | -- | |
| P00436239 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
Can you provide the Matthew David Proctor's physical address?
The Matthew David Proctor is physically located at 1815 E 19Th St, in the city of The Dalles, OR, with the postal code 970583385.
Could you please provide the complete street address where Matthew David Proctor is physically located?
The Matthew David Proctor is physically situated at the following address: 1815 E 19Th St, The Dalles, OR, 970583385.
What is the Matthew David Proctor's area of specialization and corresponding taxonomy classification?
The Matthew David Proctor's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did the Matthew David Proctor receive its 1932127412?
The Matthew David Proctor was issued its 1932127412 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Matthew David Proctor most recently updated or revised?
The information pertaining to Matthew David Proctor, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-25.
NPI Number: 1982607784
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