is a Adolescent Medicine in , . practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for is 1710939376. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710939376 |
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Provider Mailing Address Detail
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| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
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| Taxonomy | 207Ra0000X |
| Licence No | 8192 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43492 | AL | -- | |
| 51043492 | AL | BLUE CROSS BLUE SHIELD |
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