David Ray Dedrickson in Farmington - Diagnostic Radiology

David Ray Dedrickson - NPI 1144222779

David Ray Dedrickson is a Diagnostic Radiology in Farmington, Utah. David Ray Dedrickson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Ray Dedrickson is 1144222779. The last update date is 2019-02-19.

David Ray Dedrickson's current location address is 1433 N 1075 W, Farmington, Utah. You can contact this provider via phone number 8012981300 and fax number 8012966199. The mailing address for David Ray Dedrickson is 1433 N 1075 W, Farmington, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name David Ray Dedrickson
Address 1433 N 1075 W, Farmington, Utah
Phone Number 8012981300
Fax Number 8012966199
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1144222779
Provider Enumeration Date 2005-08-12
Last Updated Date 2019-02-19

Provider Mailing Address Detail

Address 1433 N 1075 W
City Farmington
State Utah (UT)
Post Code 840252746
Phone Number 8012981300
Fax Number 8012966199

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 184965-1205
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
10536 UT --
120727000 WY --
922890 AZ --
P00199660 UT RR MEDICARE
P00651526 UT RR MEDICARE
100505581 NV --
807116200 ID --

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FAQs about David Ray Dedrickson

What is the unique identifier code issued to David Ray Dedrickson by the Centers for Medicare & Medicaid Services (CMS)?

The David Ray Dedrickson has been assigned the NPI (National Provider Identifier) 1144222779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the David Ray Dedrickson's physical address?

The David Ray Dedrickson is physically located at 1433 N 1075 W, in the city of Farmington, UT, with the postal code 840252746.

What is the area of specialization for David Ray Dedrickson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David Ray Dedrickson is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the David Ray Dedrickson receive the assignment of its 1144222779 from the Centers for Medicare & Medicaid Services?

The David Ray Dedrickson was issued its 1144222779 by the Centers for Medicare & Medicaid Services on 2005-08-12.

As of what date was the information pertaining to David Ray Dedrickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David Ray Dedrickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-19.

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