Gowan Jessen Deckey in Yuma - Pediatrics
Gowan Jessen Deckey - NPI 1639230287
Gowan Jessen Deckey is a Pediatrics in Yuma, Arizona. Gowan Jessen Deckey practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gowan Jessen Deckey is 1639230287. The last update date is 2015-02-26.
Gowan Jessen Deckey's current location address is 2359 S 22nd Dr, Yuma, Arizona. You can contact this provider via phone number 9283444800 and fax number 9287262377. The mailing address for Gowan Jessen Deckey is 2359 S 22nd Dr, Yuma, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gowan Jessen Deckey |
|---|---|
| Address | 2359 S 22nd Dr, Yuma, Arizona |
| Phone Number | 9283444800 |
| Fax Number | 9287262377 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639230287 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2015-02-26 |
Provider Mailing Address Detail
| Address | 2359 S 22nd Dr |
|---|---|
| City | Yuma |
| State | Arizona (AZ) |
| Post Code | 85364 |
| Phone Number | 9283444800 |
| Fax Number | 9287262377 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 20484 |
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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 |
|---|---|---|---|
| AZ0340800 | AZ | BCBS | |
| 139768 | AZ | -- |
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What is the unique identifier code issued to Gowan Jessen Deckey by the Centers for Medicare & Medicaid Services?
The Gowan Jessen Deckey has been assigned the NPI (National Provider Identifier) 1639230287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gowan Jessen Deckey?
The Gowan Jessen Deckey is situated at 2359 S 22Nd Dr, in the city of Yuma, state of AZ, with the zip code 85364.
What is Gowan Jessen Deckey's area of expertise and its corresponding taxonomy classification?
The Gowan Jessen Deckey'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 Gowan Jessen Deckey receive its 1639230287 assignment from the Centers for Medicare & Medicaid Services?
The Gowan Jessen Deckey was assigned its 1639230287 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Gowan Jessen Deckey most recently updated or revised?
The information pertaining to Gowan Jessen Deckey, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-26.
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