William Thomas Choctaw in Covina - Surgery
William Thomas Choctaw - NPI 1013957950
William Thomas Choctaw is a Surgery in Covina, California. William Thomas Choctaw practices all healthcare services and medical treatments related to Surgery. The NPI Number for William Thomas Choctaw is 1013957950. The last update date is 2013-01-15.
William Thomas Choctaw's current location address is 315 North 3rd Avenue, Covina, California. You can contact this provider via phone number 6269381165 and fax number 6269381172. The mailing address for William Thomas Choctaw is 315 North 3rd Avenue, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Thomas Choctaw |
|---|---|
| Address | 315 North 3rd Avenue, Covina, California |
| Phone Number | 6269381165 |
| Fax Number | 6269381172 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013957950 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2013-01-15 |
Provider Mailing Address Detail
| Address | 315 North 3rd Avenue |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 91723 |
| Phone Number | 6269381165 |
| Fax Number | 6269381172 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | G029056 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G290560 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to William Thomas Choctaw?
The William Thomas Choctaw has been issued the NPI (National Provider Identifier) 1013957950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where William Thomas Choctaw is physically located?
The William Thomas Choctaw is physically situated at the following address: 315 North 3Rd Avenue, Covina, CA, 91723.
What is the William Thomas Choctaw's specialty and taxonomy code?
The William Thomas Choctaw's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date was the 1013957950 assigned to William Thomas Choctaw?
The William Thomas Choctaw was issued its 1013957950 on 2006-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to William Thomas Choctaw last refreshed?
The information related to the William Thomas Choctaw, including its address, specialty, and other relevant details, was last updated on 2013-01-15.
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