Paul Larry Dassow in Chattanooga - Adolescent Medicine
Paul Larry Dassow - NPI 1790729572
Paul Larry Dassow is a Adolescent Medicine in Chattanooga, Tennessee. Paul Larry Dassow practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Paul Larry Dassow is 1790729572. The last update date is 2012-06-27.
Paul Larry Dassow's current location address is Po Box 11023, Chattanooga, Tennessee. You can contact this provider via phone number 4237789300 and fax number 4237789301. The mailing address for Paul Larry Dassow is Po Box 11023, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Larry Dassow |
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Address | Po Box 11023, Chattanooga, Tennessee |
Phone Number | 4237789300 |
Fax Number | 4237789301 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790729572 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2012-06-27 |
Provider Mailing Address Detail
Address | Po Box 11023 |
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City | Chattanooga |
State | Tennessee (TN) |
Post Code | 374012023 |
Phone Number | 4237789300 |
Fax Number | 4237789301 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | 34878 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
64348782 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Larry Dassow by the Centers for Medicare & Medicaid Services?
The Paul Larry Dassow has been issued the NPI (National Provider Identifier) 1790729572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Paul Larry Dassow's physical address?
The Paul Larry Dassow is physically located at Po Box 11023, in the city of Chattanooga, TN, with the postal code 374012023.
What is Paul Larry Dassow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Larry Dassow is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.
On what date was the 1790729572 assigned to Paul Larry Dassow?
The Paul Larry Dassow was issued its 1790729572 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Paul Larry Dassow's information last updated?
The Paul Larry Dassow's information was last updated on 2012-06-27.