Hipolito Mance Custodio in Richland - Obstetrics & Gynecology
Hipolito Mance Custodio - NPI 1225244379
Hipolito Mance Custodio is a Obstetrics & Gynecology in Richland, Washington. Hipolito Mance Custodio practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Hipolito Mance Custodio is 1225244379. The last update date is 2021-05-10.
Hipolito Mance Custodio's current location address is 550 Gage Blvd, Richland, Washington. You can contact this provider via phone number 5099423627 and fax number 5096272983. The mailing address for Hipolito Mance Custodio is 550 Gage Blvd, Richland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hipolito Mance Custodio |
|---|---|
| Address | 550 Gage Blvd, Richland, Washington |
| Phone Number | 5099423627 |
| Fax Number | 5096272983 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225244379 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2021-05-10 |
Provider Mailing Address Detail
| Address | 550 Gage Blvd |
|---|---|
| City | Richland |
| State | Washington (WA) |
| Post Code | 993529532 |
| Phone Number | 5099423627 |
| Fax Number | 5096272983 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | MT186614 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 249026 | WA | LABOR & INDUSTRIES | |
| 8544694 | WA | -- |
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What is the unique identifier code issued to Hipolito Mance Custodio by the Centers for Medicare & Medicaid Services?
The Hipolito Mance Custodio has been assigned the NPI (National Provider Identifier) 1225244379. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Hipolito Mance Custodio is located?
The Hipolito Mance Custodio is situated at the following address: 550 Gage Blvd, Richland, WA, 993529532.
What is the Hipolito Mance Custodio's area of specialization and corresponding taxonomy classification?
The Hipolito Mance Custodio's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.
When did Hipolito Mance Custodio receive its 1225244379 assignment?
The Hipolito Mance Custodio was assigned its 1225244379 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Hipolito Mance Custodio's details last updated?
The information pertaining to the Hipolito Mance Custodio, including its address, specialty, and other details, was most recently updated on 2021-05-10.
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