Michael Ray Gummow in Canon City - Child & Adolescent Psychiatry
Michael Ray Gummow - NPI 1285792374
Michael Ray Gummow is a Child & Adolescent Psychiatry in Canon City, Colorado. Michael Ray Gummow practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Michael Ray Gummow is 1285792374. The last update date is 2012-09-06.
Michael Ray Gummow's current location address is 3225 Independence Rd, Canon City, Colorado. You can contact this provider via phone number 7192752351. The mailing address for Michael Ray Gummow is 3225 Independence Rd, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ray Gummow |
|---|---|
| Address | 3225 Independence Rd, Canon City, Colorado |
| Phone Number | 7192752351 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285792374 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2012-09-06 |
Provider Mailing Address Detail
| Address | 3225 Independence Rd |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812129380 |
| Phone Number | 7192752351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | R-7895 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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What is the unique 10-digit identification code issued to Michael Ray Gummow by the Centers for Medicare & Medicaid Services?
The Michael Ray Gummow has been assigned the NPI (National Provider Identifier) 1285792374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Michael Ray Gummow is physically located?
The Michael Ray Gummow is physically situated at the following address: 3225 Independence Rd, Canon City, CO, 812129380.
What is Michael Ray Gummow's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Ray Gummow is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date was the 1285792374 assigned to Michael Ray Gummow?
The Michael Ray Gummow was issued its 1285792374 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael Ray Gummow most recently updated or revised?
The information pertaining to Michael Ray Gummow, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-06.
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