Louis David Potyondy in Tacoma - Plastic Surgery
Louis David Potyondy - NPI 1104884956
Louis David Potyondy is a Plastic Surgery in Tacoma, Washington. Louis David Potyondy practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Louis David Potyondy is 1104884956. The last update date is 2012-09-11.
Louis David Potyondy's current location address is 801 Pacific Ave, Tacoma, Washington. You can contact this provider via phone number 2295892588. The mailing address for Louis David Potyondy is 801 Pacific Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Louis David Potyondy |
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Address | 801 Pacific Ave, Tacoma, Washington |
Phone Number | 2295892588 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1104884956 |
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Provider Enumeration Date | 2006-05-02 |
Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
Address | 801 Pacific Ave |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984025209 |
Phone Number | 2295892588 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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Taxonomy | 208200000X |
Licence No | 57743 |
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
814916866A | GA | -- | |
1281100 | FL | -- | |
1508824293 | GA | MEDICARE PRACTICE NPI |
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What is the Louis David Potyondy's unique identification number?
The Louis David Potyondy has been assigned the NPI (National Provider Identifier) Number 1104884956 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 physical location address of Louis David Potyondy?
The Louis David Potyondy is physically situated at 801 Pacific Ave, in the city of Tacoma, state of WA, with the postal code 984025209.
What is Louis David Potyondy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Louis David Potyondy is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.
On what date did the Louis David Potyondy receive the assignment of its 1104884956 from the Centers for Medicare & Medicaid Services?
The Louis David Potyondy was issued its 1104884956 by the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the information regarding Louis David Potyondy most recently updated?
The details pertaining to the Louis David Potyondy, including its address, specialty, and other relevant information, were last refreshed on 2012-09-11.