Wynter Nigel Phoenix in Roseville - Surgery

Wynter Nigel Phoenix - NPI 1548432974

Wynter Nigel Phoenix is a Surgery in Roseville, California. Wynter Nigel Phoenix practices all healthcare services and medical treatments related to Surgery. The NPI Number for Wynter Nigel Phoenix is 1548432974. The last update date is 2023-09-06.

Wynter Nigel Phoenix's current location address is 1211 Pleasant Grove Blvd, Roseville, California. You can contact this provider via phone number 9167918346 and fax number 9167918833. The mailing address for Wynter Nigel Phoenix is 1211 Pleasant Grove Blvd, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wynter Nigel Phoenix
Address 1211 Pleasant Grove Blvd, Roseville, California
Phone Number 9167918346
Fax Number 9167918833
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1548432974
Provider Enumeration Date 2008-03-26
Last Updated Date 2023-09-06

Provider Mailing Address Detail

Address 1211 Pleasant Grove Blvd
City Roseville
State California (CA)
Post Code 95678
Phone Number 9167918346
Fax Number 9167918833

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 12345
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
1548432974 NPI
1548432974 NV --

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FAQs about Wynter Nigel Phoenix

What is the unique 10-digit identification code assigned to Wynter Nigel Phoenix by the Centers for Medicare & Medicaid Services?

The Wynter Nigel Phoenix has been issued the NPI (National Provider Identifier) 1548432974, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Wynter Nigel Phoenix's physical address?

The Wynter Nigel Phoenix is physically located at 1211 Pleasant Grove Blvd, in the city of Roseville, CA, with the postal code 95678.

What is the Wynter Nigel Phoenix's specialty and taxonomy code?

The Wynter Nigel Phoenix's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date was the 1548432974 assigned to Wynter Nigel Phoenix?

The Wynter Nigel Phoenix was issued its 1548432974 on 2008-03-26, 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 Wynter Nigel Phoenix's details last updated?

The information pertaining to the Wynter Nigel Phoenix, including its address, specialty, and other details, was most recently updated on 2023-09-06.

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