Clyde Dejong Ford in Salt Lake City - Hematology & Oncology

Clyde Dejong Ford - NPI 1568496958

Clyde Dejong Ford is a Hematology & Oncology in Salt Lake City, Utah. Clyde Dejong Ford practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Clyde Dejong Ford is 1568496958. The last update date is 2011-08-26.

Clyde Dejong Ford's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8015358163 and fax number 8013554011. The mailing address for Clyde Dejong Ford is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Clyde Dejong Ford
Address Po Box 27128, Salt Lake City, Utah
Phone Number 8015358163
Fax Number 8013554011
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1568496958
Provider Enumeration Date 2006-07-10
Last Updated Date 2011-08-26

Provider Mailing Address Detail

Address Po Box 27128
City Salt Lake City
State Utah (UT)
Post Code 841270128
Phone Number 8015358163
Fax Number 8013554011

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No 158790-1205
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
91515 UT PEHP
6891 UT DMBA
296662 UT ALTIUS
107005107110 UT SELECT HEALTH

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FAQs about Clyde Dejong Ford

What is the unique 10-digit identifier code assigned to Clyde Dejong Ford by the Centers for Medicare & Medicaid Services?

The Clyde Dejong Ford has been issued the NPI (National Provider Identifier) 1568496958 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Clyde Dejong Ford is geographically located?

The Clyde Dejong Ford is physically situated at the following location: Po Box 27128, Salt Lake City, UT, 841270128.

What is the Clyde Dejong Ford's area of specialization and corresponding taxonomy classification?

The Clyde Dejong Ford's specialty field is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their specialties.

When did the Clyde Dejong Ford receive its 1568496958?

The Clyde Dejong Ford was issued its 1568496958 on 2006-07-10, which is the date when the organization was assigned this unique identifier.

When was the information regarding Clyde Dejong Ford most recently updated?

The details pertaining to the Clyde Dejong Ford, including its address, specialty, and other relevant information, were last refreshed on 2011-08-26.

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