Brian Etheridge is a Pediatrics in Lordsburg, New Mexico. Brian Etheridge practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Brian Etheridge is 1487767562. The last update date is 2017-10-03.
Brian Etheridge's current location address is 530 De Moss St, Lordsburg, New Mexico. You can contact this provider via phone number 5755422307 and fax number 5753138235. The mailing address for Brian Etheridge is 530 De Moss St, Lordsburg, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Etheridge |
|---|---|
| Address | 530 De Moss St, Lordsburg, New Mexico |
| Phone Number | 5755422307 |
| Fax Number | 5753138235 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487767562 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2017-10-03 |
Provider Mailing Address Detail
| Address | 530 De Moss St |
|---|---|
| City | Lordsburg |
| State | New Mexico (NM) |
| Post Code | 880452618 |
| Phone Number | 5755422307 |
| Fax Number | 5753138235 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD2007-0195 |
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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 |
|---|---|---|---|
| 40906361 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian Etheridge by the Centers for Medicare & Medicaid Services?
The Brian Etheridge has been assigned the NPI (National Provider Identifier) 1487767562 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brian Etheridge's facilities are situated?
The facilities of Brian Etheridge are physically located at the following address: 530 De Moss St, Lordsburg, NM, 880452618.
What is Brian Etheridge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian Etheridge is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
When did Brian Etheridge receive its 1487767562 assignment?
The Brian Etheridge was assigned its 1487767562 on 2006-08-16, which is the date when this unique identifier was issued to the organization.
When was the Brian Etheridge's information last updated?
The Brian Etheridge's information was last updated on 2017-10-03.