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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL