Dean D Ettinger in Sierra Vista - Pediatrics
Dean D Ettinger - NPI 1548257009
Dean D Ettinger is a Pediatrics in Sierra Vista, Arizona. Dean D Ettinger practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dean D Ettinger is 1548257009. The last update date is 2018-08-07.
Dean D Ettinger's current location address is 155 Calle Portal, Sierra Vista, Arizona. You can contact this provider via phone number 5204580660 and fax number 5204589550. The mailing address for Dean D Ettinger is 155 Calle Portal, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean D Ettinger |
|---|---|
| Address | 155 Calle Portal, Sierra Vista, Arizona |
| Phone Number | 5204580660 |
| Fax Number | 5204589550 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548257009 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2018-08-07 |
Provider Mailing Address Detail
| Address | 155 Calle Portal |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856352900 |
| Phone Number | 5204580660 |
| Fax Number | 5204589550 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 12142 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 235079002 | AZ | -- | |
| 1689925711 | GROUP NPI | ||
| 1548257009 | PERSONAL NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Dean D Ettinger by the Centers for Medicare & Medicaid Services?
The Dean D Ettinger has been assigned the NPI (National Provider Identifier) 1548257009. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dean D Ettinger's facilities are situated?
The facilities of Dean D Ettinger are physically located at the following address: 155 Calle Portal, Sierra Vista, AZ, 856352900.
What is Dean D Ettinger's area of expertise and its corresponding taxonomy classification?
The Dean D Ettinger's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dean D Ettinger receive its 1548257009 assignment from the Centers for Medicare & Medicaid Services?
The Dean D Ettinger was assigned its 1548257009 by the Centers for Medicare & Medicaid Services on 2005-09-30.
As of what date were the details pertaining to Dean D Ettinger last refreshed?
The information related to the Dean D Ettinger, including its address, specialty, and other relevant details, was last updated on 2018-08-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY