Shana Widick Rose in Fenton - Ophthalmology
Shana Widick Rose - NPI 1508020645
Shana Widick Rose is a Ophthalmology in Fenton, Missouri. Shana Widick Rose practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Shana Widick Rose is 1508020645. The last update date is 2015-01-23.
Shana Widick Rose's current location address is 1011 Bowles Ave, Fenton, Missouri. You can contact this provider via phone number 6367171700 and fax number 6362034727. The mailing address for Shana Widick Rose is 1011 Bowles Ave, Fenton, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shana Widick Rose |
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Address | 1011 Bowles Ave, Fenton, Missouri |
Phone Number | 6367171700 |
Fax Number | 6362034727 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1508020645 |
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Provider Enumeration Date | 2008-07-17 |
Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
Address | 1011 Bowles Ave |
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City | Fenton |
State | Missouri (MO) |
Post Code | 630262395 |
Phone Number | 6367171700 |
Fax Number | 6362034727 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | 2011014018 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique identification code assigned to Shana Widick Rose by the Centers for Medicare & Medicaid Services?
The Shana Widick Rose has been issued the NPI (National Provider Identifier) 1508020645. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shana Widick Rose is physically located?
The Shana Widick Rose is situated at the following address: 1011 Bowles Ave, Fenton, MO 630262395.
What is Shana Widick Rose's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shana Widick Rose is Ophthalmology, and the corresponding taxonomy classification code for this specialized field is 207W00000X.
When did Shana Widick Rose receive its 1508020645 assignment?
The Shana Widick Rose was assigned its 1508020645 on 2008-07-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Shana Widick Rose most recently updated or revised?
The information pertaining to Shana Widick Rose, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY