Stuart Austin Black in Nampa - Family Medicine

Stuart Austin Black - NPI 1053351361

Stuart Austin Black is a Family Medicine in Nampa, Idaho. Stuart Austin Black practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stuart Austin Black is 1053351361. The last update date is 2012-07-11.

Stuart Austin Black's current location address is Po Box 9, Nampa, Idaho. You can contact this provider via phone number 2084667869 and fax number 2084665359. The mailing address for Stuart Austin Black is Po Box 9, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Stuart Austin Black
Address Po Box 9, Nampa, Idaho
Phone Number 2084667869
Fax Number 2084665359
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1053351361
Provider Enumeration Date 2006-06-07
Last Updated Date 2012-07-11

Provider Mailing Address Detail

Address Po Box 9
City Nampa
State Idaho (ID)
Post Code 836530009
Phone Number 2084667869
Fax Number 2084665359

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 01060962A
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11000131 ID MEDICARE PTAN
11000133 ID MEDICARE PTAN
1053351361 ID --
11000132 ID MEDICARE PTAN
P00777176 ID MEDICARE RAILROAD PTAN
M9850 ID IDAHO LICENSE

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FAQs about Stuart Austin Black

What is the unique identifier code issued to Stuart Austin Black by the Centers for Medicare & Medicaid Services?

The Stuart Austin Black has been assigned the NPI (National Provider Identifier) 1053351361. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stuart Austin Black is physically located?

The Stuart Austin Black is physically situated at the following address: Po Box 9, Nampa, ID, 836530009.

What is Stuart Austin Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stuart Austin Black is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

When did Stuart Austin Black receive its 1053351361 assignment?

The Stuart Austin Black was assigned its 1053351361 on 2006-06-07, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Stuart Austin Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stuart Austin Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-11.

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