Edmund Gary Servais in Salem - Ophthalmology
Edmund Gary Servais - NPI 1477627735
Edmund Gary Servais is a Ophthalmology in Salem, Oregon. Edmund Gary Servais practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Edmund Gary Servais is 1477627735. The last update date is 2007-07-08.
Edmund Gary Servais's current location address is 2450 12th Street Se, Salem, Oregon. You can contact this provider via phone number 5033714350 and fax number 5033711124. The mailing address for Edmund Gary Servais is 2450 12th Street Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmund Gary Servais |
|---|---|
| Address | 2450 12th Street Se, Salem, Oregon |
| Phone Number | 5033714350 |
| Fax Number | 5033711124 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477627735 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2450 12th Street Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 97302 |
| Phone Number | 5033714350 |
| Fax Number | 5033711124 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 17998 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55504 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edmund Gary Servais by the Centers for Medicare & Medicaid Services?
The Edmund Gary Servais has been issued the NPI (National Provider Identifier) 1477627735, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edmund Gary Servais's physical address?
The Edmund Gary Servais is physically located at 2450 12Th Street Se, in the city of Salem, OR, with the postal code 97302.
What is Edmund Gary Servais's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edmund Gary Servais is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.
On what date did the Edmund Gary Servais receive its 1477627735 assignment from the Centers for Medicare & Medicaid Services?
The Edmund Gary Servais was assigned its 1477627735 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date was the information pertaining to Edmund Gary Servais, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edmund Gary Servais, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
Address: 169 N Middletown Rd, Pearl River, NY
Address: 31519 Winterplace Pkwy, Salisbury, MD
Address: 1420 S 28th Ave, Hattiesburg, MS
Address: 155 Borthwick Ave, Portsmouth, NH
Address: 169 N Middletown Rd, Pearl River, NY
Address: 3415 Golden Rd, Tyler, TX
Address: 1400 Wellbrook Cir Ne, Conyers, GA
Address: 2880 Dauphin St, Mobile, AL
Address: Po Box 38157, Greensboro, NC
Address: 123 Hospital Dr, Watertown, WI
Address: 660 S Euclid Ave, Saint Louis, MO
Address: 3415 Golden Rd, Tyler, TX
Address: 1420 S 28th Ave, Hattiesburg, MS
Address: 1620 Country Club Rd, Valparaiso, IN
Address: 2935 Maple Ave, Zanesville, OH