Bruce Robert Mirvis in Columbus - Pediatrics

Bruce Robert Mirvis - NPI 1568434835

Bruce Robert Mirvis is a Pediatrics in Columbus, Ohio. Bruce Robert Mirvis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce Robert Mirvis is 1568434835. The last update date is 2023-02-09.

Bruce Robert Mirvis's current location address is 1070 Polaris Pkwy, Columbus, Ohio. You can contact this provider via phone number 6144375600 and fax number 6144376275. The mailing address for Bruce Robert Mirvis is 1070 Polaris Pkwy, Columbus, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Robert Mirvis
Address 1070 Polaris Pkwy, Columbus, Ohio
Phone Number 6144375600
Fax Number 6144376275
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1568434835
Provider Enumeration Date 2006-02-02
Last Updated Date 2023-02-09

Provider Mailing Address Detail

Address 1070 Polaris Pkwy
City Columbus
State Ohio (OH)
Post Code 432404038
Phone Number 6144375600
Fax Number 6144376275

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301116689
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
345086 OH --

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FAQs about Bruce Robert Mirvis

What is the unique provider identifier assigned to Bruce Robert Mirvis?

The Bruce Robert Mirvis has been issued the NPI (National Provider Identifier) 1568434835 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Bruce Robert Mirvis is geographically located?

The Bruce Robert Mirvis is physically situated at the following location: 1070 Polaris Pkwy, Columbus, OH, 432404038.

What is Bruce Robert Mirvis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce Robert Mirvis is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did Bruce Robert Mirvis receive its 1568434835 assignment from the Centers for Medicare & Medicaid Services?

The Bruce Robert Mirvis was assigned its 1568434835 on 2006-02-02, 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 Bruce Robert Mirvis's details last updated?

The information pertaining to the Bruce Robert Mirvis, including its address, specialty, and other details, was most recently updated on 2023-02-09.

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