Mario Dodds Rosa Simangan in Medical Lake - Psychiatry
Mario Dodds Rosa Simangan - NPI 1710969696
Mario Dodds Rosa Simangan is a Psychiatry in Medical Lake, Washington. Mario Dodds Rosa Simangan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mario Dodds Rosa Simangan is 1710969696. The last update date is 2015-01-13.
Mario Dodds Rosa Simangan's current location address is Po Box 800, Medical Lake, Washington. You can contact this provider via phone number 5095654000 and fax number 5095657015. The mailing address for Mario Dodds Rosa Simangan is Po Box 800, Medical Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Dodds Rosa Simangan |
|---|---|
| Address | Po Box 800, Medical Lake, Washington |
| Phone Number | 5095654000 |
| Fax Number | 5095657015 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710969696 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2015-01-13 |
Provider Mailing Address Detail
| Address | Po Box 800 |
|---|---|
| City | Medical Lake |
| State | Washington (WA) |
| Post Code | 990220800 |
| Phone Number | 5095654000 |
| Fax Number | 5095657015 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD00021981 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1087626 | WA | -- |
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What is the unique identification code assigned to Mario Dodds Rosa Simangan by the Centers for Medicare & Medicaid Services?
The Mario Dodds Rosa Simangan has been issued the NPI (National Provider Identifier) 1710969696. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Mario Dodds Rosa Simangan by the Centers for Medicare & Medicaid Services?
The Mario Dodds Rosa Simangan has been issued the NPI (National Provider Identifier) 1710969696 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Mario Dodds Rosa Simangan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mario Dodds Rosa Simangan's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
What is Mario Dodds Rosa Simangan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mario Dodds Rosa Simangan is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
When was the information related to Mario Dodds Rosa Simangan most recently updated or refreshed?
The details pertaining to the Mario Dodds Rosa Simangan, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-13.