Jenni Conner Deleon in Coos Bay - Pediatrics

Jenni Conner Deleon - NPI 1215911045

Jenni Conner Deleon is a Pediatrics in Coos Bay, Oregon. Jenni Conner Deleon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jenni Conner Deleon is 1215911045. The last update date is 2013-05-20.

Jenni Conner Deleon's current location address is 1900 Woodland Dr, Coos Bay, Oregon. You can contact this provider via phone number 5412675151 and fax number 5412664579. The mailing address for Jenni Conner Deleon is 1900 Woodland Dr, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenni Conner Deleon
Address 1900 Woodland Dr, Coos Bay, Oregon
Phone Number 5412675151
Fax Number 5412664579
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1215911045
Provider Enumeration Date 2005-12-05
Last Updated Date 2013-05-20

Provider Mailing Address Detail

Address 1900 Woodland Dr
City Coos Bay
State Oregon (OR)
Post Code 974200000
Phone Number 5412675151
Fax Number 5412664579

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD25369
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
22756 OR --
1407812365 OR NBMC NPI NUMBER-GROUP
930635514 OR GROUP TAX ID
R0000WFBTV OR MEDICARE GROUP PIN

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FAQs about Jenni Conner Deleon

What is the Jenni Conner Deleon's unique identification number?

The Jenni Conner Deleon has been assigned the NPI (National Provider Identifier) Number 1215911045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Jenni Conner Deleon is physically located?

The Jenni Conner Deleon is physically situated at the following address: 1900 Woodland Dr, Coos Bay, OR, 974200000.

What is Jenni Conner Deleon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jenni Conner Deleon's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

When was the Jenni Conner Deleon's 1215911045 issued?

The Jenni Conner Deleon's 1215911045 was issued on 2005-12-05.

When was the information related to Jenni Conner Deleon most recently updated or refreshed?

The details pertaining to the Jenni Conner Deleon, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-20.

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