James K Detwiler in Redmond - Geriatric Medicine

James K Detwiler - NPI 1154364024

James K Detwiler is a Geriatric Medicine in Redmond, Oregon. James K Detwiler practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for James K Detwiler is 1154364024. The last update date is 2012-02-07.

James K Detwiler's current location address is Po Box 1420, Redmond, Oregon. You can contact this provider via phone number 5415482164 and fax number 5415480534. The mailing address for James K Detwiler is Po Box 1420, Redmond, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name James K Detwiler
Address Po Box 1420, Redmond, Oregon
Phone Number 5415482164
Fax Number 5415480534
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154364024
Provider Enumeration Date 2006-06-14
Last Updated Date 2012-02-07

Provider Mailing Address Detail

Address Po Box 1420
City Redmond
State Oregon (OR)
Post Code 977560400
Phone Number 5415482164
Fax Number 5415480534

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No MD09568
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11129522 OR CAQH ID
233692 OR --

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FAQs about James K Detwiler

What is the James K Detwiler's unique identification number?

The James K Detwiler has been assigned the NPI (National Provider Identifier) Number 1154364024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where James K Detwiler's facilities are geographically located?

The facilities of James K Detwiler are physically situated at the following location: Po Box 1420, Redmond, OR, 977560400.

What is James K Detwiler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for James K Detwiler is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.

On what date did James K Detwiler receive its 1154364024 assignment from the Centers for Medicare & Medicaid Services?

The James K Detwiler was assigned its 1154364024 on 2006-06-14, 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 James K Detwiler's details last updated?

The information pertaining to the James K Detwiler, including its address, specialty, and other details, was most recently updated on 2012-02-07.

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