Matthew Mulhall Pontzer in Idaho Falls - Psychiatry
Matthew Mulhall Pontzer - NPI 1598736860
Matthew Mulhall Pontzer is a Psychiatry in Idaho Falls, Idaho. Matthew Mulhall Pontzer practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Matthew Mulhall Pontzer is 1598736860. The last update date is 2009-10-01.
Matthew Mulhall Pontzer's current location address is 2375 E Sunnyside Rd Ste C, Idaho Falls, Idaho. You can contact this provider via phone number 2085295777 and fax number 2085295778. The mailing address for Matthew Mulhall Pontzer is 2375 E Sunnyside Rd Ste C, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Mulhall Pontzer |
|---|---|
| Address | 2375 E Sunnyside Rd Ste C, Idaho Falls, Idaho |
| Phone Number | 2085295777 |
| Fax Number | 2085295778 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1598736860 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2009-10-01 |
Provider Mailing Address Detail
| Address | 2375 E Sunnyside Rd Ste C |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048281 |
| Phone Number | 2085295777 |
| Fax Number | 2085295778 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 02002403A |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code issued to Matthew Mulhall Pontzer by the Centers for Medicare & Medicaid Services?
The Matthew Mulhall Pontzer has been assigned the NPI (National Provider Identifier) 1598736860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Matthew Mulhall Pontzer?
The Matthew Mulhall Pontzer is situated at 2375 E Sunnyside Rd Ste C, in the city of Idaho Falls, state of ID, with the zip code 834048281.
What is Matthew Mulhall Pontzer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew Mulhall Pontzer's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did Matthew Mulhall Pontzer receive its 1598736860 assignment?
The Matthew Mulhall Pontzer was assigned its 1598736860 on 2006-01-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Matthew Mulhall Pontzer most recently updated or refreshed?
The details pertaining to the Matthew Mulhall Pontzer, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-01.