Larry Jess De St. Jeor in Clovis - Diagnostic Radiology
Larry Jess De St. Jeor - NPI 1417953472
Larry Jess De St. Jeor is a Diagnostic Radiology in Clovis, California. Larry Jess De St. Jeor practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Larry Jess De St. Jeor is 1417953472. The last update date is 2008-02-14.
Larry Jess De St. Jeor's current location address is 231 W Fir Ave, Clovis, California. You can contact this provider via phone number 5592970300 and fax number 5593235461. The mailing address for Larry Jess De St. Jeor is 231 W Fir Ave, Clovis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Jess De St. Jeor |
|---|---|
| Address | 231 W Fir Ave, Clovis, California |
| Phone Number | 5592970300 |
| Fax Number | 5593235461 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417953472 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
| Address | 231 W Fir Ave |
|---|---|
| City | Clovis |
| State | California (CA) |
| Post Code | 936110220 |
| Phone Number | 5592970300 |
| Fax Number | 5593235461 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G25036 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G250360 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry Jess De St. Jeor by the Centers for Medicare & Medicaid Services?
The Larry Jess De St. Jeor has been issued the NPI (National Provider Identifier) 1417953472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larry Jess De St. Jeor is located?
The Larry Jess De St. Jeor is situated at the following address: 231 W Fir Ave, Clovis, CA, 936110220.
What is Larry Jess De St. Jeor's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Jess De St. Jeor's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did Larry Jess De St. Jeor receive its 1417953472 assignment from the Centers for Medicare & Medicaid Services?
The Larry Jess De St. Jeor was assigned its 1417953472 on 2005-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Larry Jess De St. Jeor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Jess De St. Jeor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-14.