Peter L Vance in Idaho Falls - Diagnostic Radiology

Peter L Vance - NPI 1619056199

Peter L Vance is a Diagnostic Radiology in Idaho Falls, Idaho. Peter L Vance practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Peter L Vance is 1619056199. The last update date is 2016-12-20.

Peter L Vance's current location address is 2265 E Sunnyside Rd, Idaho Falls, Idaho. You can contact this provider via phone number 2085425000 and fax number 2085425151. The mailing address for Peter L Vance is 2265 E Sunnyside Rd, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter L Vance
Address 2265 E Sunnyside Rd, Idaho Falls, Idaho
Phone Number 2085425000
Fax Number 2085425151
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619056199
Provider Enumeration Date 2006-11-03
Last Updated Date 2016-12-20

Provider Mailing Address Detail

Address 2265 E Sunnyside Rd
City Idaho Falls
State Idaho (ID)
Post Code 834047598
Phone Number 2085425000
Fax Number 2085425151

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No M8158
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
806336100 ID --
300131798 RAILROAD MEDICARE

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FAQs about Peter L Vance

What is the unique provider identifier assigned to Peter L Vance?

The Peter L Vance has been issued the NPI (National Provider Identifier) 1619056199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Peter L Vance is geographically located?

The Peter L Vance is physically situated at the following location: 2265 E Sunnyside Rd, Idaho Falls, ID, 834047598.

What is Peter L Vance's area of expertise and its corresponding taxonomy classification?

The Peter L Vance's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did Peter L Vance receive its 1619056199 assignment from the Centers for Medicare & Medicaid Services?

The Peter L Vance was assigned its 1619056199 on 2006-11-03, 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 regarding Peter L Vance, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Peter L Vance, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-20.

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