Jerry Fred Duris in Puyallup - Family Medicine
Jerry Fred Duris - NPI 1760540215
Jerry Fred Duris is a Family Medicine in Puyallup, Washington. Jerry Fred Duris practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerry Fred Duris is 1760540215. The last update date is 2020-01-02.
Jerry Fred Duris's current location address is 3908 10th St Se, Puyallup, Washington. You can contact this provider via phone number 2538485951 and fax number 2538457073. The mailing address for Jerry Fred Duris is 3908 10th St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Fred Duris |
|---|---|
| Address | 3908 10th St Se, Puyallup, Washington |
| Phone Number | 2538485951 |
| Fax Number | 2538457073 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760540215 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2020-01-02 |
Provider Mailing Address Detail
| Address | 3908 10th St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983742188 |
| Phone Number | 2538485951 |
| Fax Number | 2538457073 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00026703 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110099728 | WA | MEDICARE OTHER-INDIVIDUAL | |
| 1052802 | WA | -- | |
| CO3401 | WA | MEDICARE OTHER-GROUP |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry Fred Duris by the Centers for Medicare & Medicaid Services?
The Jerry Fred Duris has been issued the NPI (National Provider Identifier) 1760540215. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jerry Fred Duris's physical address?
The Jerry Fred Duris is physically located at 3908 10Th St Se, in the city of Puyallup, WA, with the postal code 983742188.
What is the area of specialization for Jerry Fred Duris, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Fred Duris is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760540215 to Jerry Fred Duris?
The Centers for Medicare & Medicaid Services assigned the 1760540215 to Jerry Fred Duris on 2006-12-05.
When was the information related to Jerry Fred Duris most recently updated or refreshed?
The details pertaining to the Jerry Fred Duris, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-01-02.
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