Penny Robillard Vandestreek in Roseville - In Vivo & In Vitro Nuclear Medicine

Penny Robillard Vandestreek - NPI 1164463402

Penny Robillard Vandestreek is a In Vivo & In Vitro Nuclear Medicine in Roseville, California. Penny Robillard Vandestreek practices all healthcare services and medical treatments related to In Vivo & In Vitro Nuclear Medicine. The NPI Number for Penny Robillard Vandestreek is 1164463402. The last update date is 2023-11-17.

Penny Robillard Vandestreek's current location address is 1 Medical Plaza Dr, Roseville, California. You can contact this provider via phone number 9167811292 and fax number 9166639912. The mailing address for Penny Robillard Vandestreek is 1 Medical Plaza Dr, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Penny Robillard Vandestreek
Address 1 Medical Plaza Dr, Roseville, California
Phone Number 9167811292
Fax Number 9166639912
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1164463402
Provider Enumeration Date 2006-06-09
Last Updated Date 2023-11-17

Provider Mailing Address Detail

Address 1 Medical Plaza Dr
City Roseville
State California (CA)
Post Code 956613037
Phone Number 9167811292
Fax Number 9166639912

Provider's Primary Taxonomy Detail

Speciality In Vivo & In Vitro Nuclear Medicine
Taxonomy 207Un0903X
Licence No 20A6232
Definition:
A nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00AX62320 CA --
P00017739 CA RAILROAD MEDICARE

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FAQs about Penny Robillard Vandestreek

What is the unique 10-digit identifier code issued to Penny Robillard Vandestreek by the Centers for Medicare & Medicaid Services?

The Penny Robillard Vandestreek has been assigned the NPI (National Provider Identifier) 1164463402 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

What is Penny Robillard Vandestreek's specialized field of practice, and what is the corresponding taxonomy classification code?

The Penny Robillard Vandestreek's area of specialization is In Vivo & In Vitro Nuclear Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Un0903X.

What is Penny Robillard Vandestreek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Penny Robillard Vandestreek is In Vivo & In Vitro Nuclear Medicine, and the corresponding taxonomy classification code for this specialized field is 207Un0903X.

On what date did the Penny Robillard Vandestreek receive the assignment of its 1164463402 from the Centers for Medicare & Medicaid Services?

The Penny Robillard Vandestreek was issued its 1164463402 by the Centers for Medicare & Medicaid Services on 2006-06-09.

As of what date was the information pertaining to Penny Robillard Vandestreek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Penny Robillard Vandestreek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-17.

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