David Frederick Widitz in Council Bluffs - Child & Adolescent Psychiatry
David Frederick Widitz - NPI 1205015906
David Frederick Widitz is a Child & Adolescent Psychiatry in Council Bluffs, Iowa. David Frederick Widitz practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for David Frederick Widitz is 1205015906. The last update date is 2023-10-02.
David Frederick Widitz's current location address is 421 W Broadway Ste 302, Council Bluffs, Iowa. You can contact this provider via phone number 3192082744 and fax number 3192082627. The mailing address for David Frederick Widitz is 421 W Broadway Ste 302, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Frederick Widitz |
|---|---|
| Address | 421 W Broadway Ste 302, Council Bluffs, Iowa |
| Phone Number | 3192082744 |
| Fax Number | 3192082627 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205015906 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2023-10-02 |
Provider Mailing Address Detail
| Address | 421 W Broadway Ste 302 |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515039046 |
| Phone Number | 3192082744 |
| Fax Number | 3192082627 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 37338 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363616314 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Frederick Widitz?
The David Frederick Widitz has been issued the NPI (National Provider Identifier) 1205015906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where David Frederick Widitz is physically located?
The David Frederick Widitz is situated at the following address: 421 W Broadway Ste 302, Council Bluffs, IA 515039046.
What is David Frederick Widitz'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 David Frederick Widitz is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.
When did David Frederick Widitz receive its 1205015906 assignment?
The David Frederick Widitz was assigned its 1205015906 on 2007-10-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to David Frederick Widitz most recently updated or revised?
The information pertaining to David Frederick Widitz, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-02.
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