Jerry William San Diego in Leavenworth - Anatomic Pathology & Clinical Pathology
Jerry William San Diego - NPI 1285694604
Jerry William San Diego is a Anatomic Pathology & Clinical Pathology in Leavenworth, Kansas. Jerry William San Diego practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Jerry William San Diego is 1285694604. The last update date is 2014-08-04.
Jerry William San Diego's current location address is 4101 S 4th St, Leavenworth, Kansas. You can contact this provider via phone number 9136822000 and fax number 9137584193. The mailing address for Jerry William San Diego is 4101 S 4th St, Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry William San Diego |
|---|---|
| Address | 4101 S 4th St, Leavenworth, Kansas |
| Phone Number | 9136822000 |
| Fax Number | 9137584193 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285694604 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2014-08-04 |
Provider Mailing Address Detail
| Address | 4101 S 4th St |
|---|---|
| City | Leavenworth |
| State | Kansas (KS) |
| Post Code | 660485014 |
| Phone Number | 9136822000 |
| Fax Number | 9137584193 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | 24399 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry William San Diego by the Centers for Medicare & Medicaid Services?
The Jerry William San Diego has been issued the NPI (National Provider Identifier) 1285694604, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerry William San Diego's facilities are situated?
The facilities of Jerry William San Diego are physically located at the following address: 4101 S 4Th St, Leavenworth, KS, 660485014.
What is the Jerry William San Diego's specialty and taxonomy code?
The Jerry William San Diego's specialty is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code is 207Zp0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285694604 to Jerry William San Diego?
The Jerry William San Diego received its 1285694604 assignment from the Centers for Medicare & Medicaid Services on 2006-03-28.
As of what date were the details related to Jerry William San Diego most recently updated or revised?
The information pertaining to Jerry William San Diego, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-04.