David Theodore Vandermolen in Shreveport - Reproductive Endocrinology
David Theodore Vandermolen - NPI 1366462368
David Theodore Vandermolen is a Reproductive Endocrinology in Shreveport, Louisiana. David Theodore Vandermolen practices all healthcare services and medical treatments related to Reproductive Endocrinology. The NPI Number for David Theodore Vandermolen is 1366462368. The last update date is 2020-04-08.
David Theodore Vandermolen's current location address is 2401 Greenwood Rd, Shreveport, Louisiana. You can contact this provider via phone number 3188415800 and fax number 3188415817. The mailing address for David Theodore Vandermolen is 2401 Greenwood Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Theodore Vandermolen |
|---|---|
| Address | 2401 Greenwood Rd, Shreveport, Louisiana |
| Phone Number | 3188415800 |
| Fax Number | 3188415817 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366462368 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2020-04-08 |
Provider Mailing Address Detail
| Address | 2401 Greenwood Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034010 |
| Phone Number | 3188415800 |
| Fax Number | 3188415817 |
Provider's Primary Taxonomy Detail
| Speciality | Reproductive Endocrinology |
|---|---|
| Taxonomy | 207Ve0102X |
| Licence No | 12977R |
|
Definition: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1551767 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Theodore Vandermolen?
The David Theodore Vandermolen has been issued the NPI (National Provider Identifier) 1366462368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where David Theodore Vandermolen is located?
The David Theodore Vandermolen is situated at the following address: 2401 Greenwood Rd, Shreveport, LA, 711034010.
What is David Theodore Vandermolen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Theodore Vandermolen is Reproductive Endocrinology, and the taxonomy code that classifies this field of practice is 207Ve0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366462368 to David Theodore Vandermolen?
The David Theodore Vandermolen received its 1366462368 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the David Theodore Vandermolen's details last updated?
The information pertaining to the David Theodore Vandermolen, including its address, specialty, and other details, was most recently updated on 2020-04-08.