Edward Gerard Detar in Coeur D Alene - Surgery
Edward Gerard Detar - NPI 1194706465
Edward Gerard Detar is a Surgery in Coeur D Alene, Idaho. Edward Gerard Detar practices all healthcare services and medical treatments related to Surgery. The NPI Number for Edward Gerard Detar is 1194706465. The last update date is 2020-10-02.
Edward Gerard Detar's current location address is 700 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086255200 and fax number 2086255201. The mailing address for Edward Gerard Detar is 700 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Gerard Detar |
|---|---|
| Address | 700 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2086255200 |
| Fax Number | 2086255201 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194706465 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2020-10-02 |
Provider Mailing Address Detail
| Address | 700 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142656 |
| Phone Number | 2086255200 |
| Fax Number | 2086255201 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M-9855 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00448097 | ID | RR MEDICARE | |
| 1124619 | WA | -- | |
| 807836200 | ID | -- | |
| 77068 | ID | BC ID |
Post Comment/ Review Below
What is the unique identification code assigned to Edward Gerard Detar by the Centers for Medicare & Medicaid Services?
The Edward Gerard Detar has been issued the NPI (National Provider Identifier) 1194706465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edward Gerard Detar's physical address?
The Edward Gerard Detar is physically located at 700 W Ironwood Dr, in the city of Coeur D Alene, ID, with the postal code 838142656.
What is Edward Gerard Detar's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward Gerard Detar is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Edward Gerard Detar receive its 1194706465 assignment from the Centers for Medicare & Medicaid Services?
The Edward Gerard Detar was assigned its 1194706465 by the Centers for Medicare & Medicaid Services on 2005-11-14.
As of what date was the information pertaining to Edward Gerard Detar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward Gerard Detar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-02.