Colin P Derdeyn in Iowa City - Neuroradiology

Colin P Derdeyn - NPI 1063438299

Colin P Derdeyn is a Neuroradiology in Iowa City, Iowa. Colin P Derdeyn practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Colin P Derdeyn is 1063438299. The last update date is 2015-11-24.

Colin P Derdeyn's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193563374 and fax number 3193848790. The mailing address for Colin P Derdeyn is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Colin P Derdeyn
Address 200 Hawkins Dr, Iowa City, Iowa
Phone Number 3193563374
Fax Number 3193848790
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063438299
Provider Enumeration Date 2006-07-14
Last Updated Date 2015-11-24

Provider Mailing Address Detail

Address 200 Hawkins Dr
City Iowa City
State Iowa (IA)
Post Code 522421009
Phone Number 3193563374
Fax Number 3193848790

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No 105361
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
268010377 MO --

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FAQs about Colin P Derdeyn

What is the unique 10-digit identifier code issued to Colin P Derdeyn by the Centers for Medicare & Medicaid Services?

The Colin P Derdeyn has been assigned the NPI (National Provider Identifier) 1063438299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Colin P Derdeyn is located?

The Colin P Derdeyn is situated at the following address: 200 Hawkins Dr, Iowa City, IA, 522421009.

What is the Colin P Derdeyn's area of specialization and corresponding taxonomy classification?

The Colin P Derdeyn's specialty field is Neuroradiology, and it falls under the taxonomy code 2085N0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1063438299 to Colin P Derdeyn?

The Colin P Derdeyn received its 1063438299 assignment from the Centers for Medicare & Medicaid Services on 2006-07-14.

As of what date were the Colin P Derdeyn's details last updated?

The information pertaining to the Colin P Derdeyn, including its address, specialty, and other details, was most recently updated on 2015-11-24.

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