Grady Reynolds Fort in Mccloud - Pediatrics
Grady Reynolds Fort - NPI 1982765582
Grady Reynolds Fort is a Pediatrics in Mccloud, California. Grady Reynolds Fort practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Grady Reynolds Fort is 1982765582. The last update date is 2017-09-02.
Grady Reynolds Fort's current location address is 116 W. Minnesota Ave, Mccloud, California. You can contact this provider via phone number 5309642389. The mailing address for Grady Reynolds Fort is 116 W. Minnesota Ave, Mccloud, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grady Reynolds Fort |
|---|---|
| Address | 116 W. Minnesota Ave, Mccloud, California |
| Phone Number | 5309642389 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982765582 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2017-09-02 |
Provider Mailing Address Detail
| Address | 116 W. Minnesota Ave |
|---|---|
| City | Mccloud |
| State | California (CA) |
| Post Code | 96057 |
| Phone Number | 5309642389 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | G27353 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Grady Reynolds Fort by the Centers for Medicare & Medicaid Services?
The Grady Reynolds Fort has been assigned the NPI (National Provider Identifier) 1982765582. 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 provide the complete street address where Grady Reynolds Fort is physically located?
The Grady Reynolds Fort is physically situated at the following address: 116 W. Minnesota Ave, Mccloud, CA, 96057.
What is Grady Reynolds Fort's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grady Reynolds Fort's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982765582 to Grady Reynolds Fort?
The Centers for Medicare & Medicaid Services originally issued the 1982765582 to Grady Reynolds Fort on 2006-12-13.
As of what date were the details pertaining to Grady Reynolds Fort last refreshed?
The information related to the Grady Reynolds Fort, including its address, specialty, and other relevant details, was last updated on 2017-09-02.