David A Wada in Salt Lake City - Dermatology

David A Wada - NPI 1043411168

David A Wada is a Dermatology in Salt Lake City, Utah. David A Wada practices all healthcare services and medical treatments related to Dermatology. The NPI Number for David A Wada is 1043411168. The last update date is 2023-05-26.

David A Wada's current location address is 50 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015876340 and fax number 8015876346. The mailing address for David A Wada is 50 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name David A Wada
Address 50 N Medical Dr, Salt Lake City, Utah
Phone Number 8015876340
Fax Number 8015876346
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043411168
Provider Enumeration Date 2007-05-29
Last Updated Date 2023-05-26

Provider Mailing Address Detail

Address 50 N Medical Dr
City Salt Lake City
State Utah (UT)
Post Code 841320001
Phone Number 8015876340
Fax Number 8015876346

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 50181
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00839042 MN MEDICARE, RAILROAD
440937100 MN --

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FAQs about David A Wada

What is the unique 10-digit identification code issued to David A Wada by the Centers for Medicare & Medicaid Services?

The David A Wada has been assigned the NPI (National Provider Identifier) 1043411168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where David A Wada's facilities are situated?

The facilities of David A Wada are physically located at the following address: 50 N Medical Dr, Salt Lake City, UT, 841320001.

What is David A Wada's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David A Wada is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.

On what date did David A Wada receive its 1043411168 assignment from the Centers for Medicare & Medicaid Services?

The David A Wada was assigned its 1043411168 on 2007-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the David A Wada's details last updated?

The information pertaining to the David A Wada, including its address, specialty, and other details, was most recently updated on 2023-05-26.

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