Jerrold Neil Flyer in Mountain Home Afb - Surgery
Jerrold Neil Flyer - NPI 1417944240
Jerrold Neil Flyer is a Surgery in Mountain Home Afb, Idaho. Jerrold Neil Flyer practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerrold Neil Flyer is 1417944240. The last update date is 2007-07-08.
Jerrold Neil Flyer's current location address is 4476 Tuck St, Mountain Home Afb, Idaho. You can contact this provider via phone number 6233268092. The mailing address for Jerrold Neil Flyer is 4476 Tuck St, Mountain Home Afb, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrold Neil Flyer |
|---|---|
| Address | 4476 Tuck St, Mountain Home Afb, Idaho |
| Phone Number | 6233268092 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417944240 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4476 Tuck St |
|---|---|
| City | Mountain Home Afb |
| State | Idaho (ID) |
| Post Code | 836481107 |
| Phone Number | 6233268092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 162603-1 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerrold Neil Flyer by the Centers for Medicare & Medicaid Services?
The Jerrold Neil Flyer has been issued the NPI (National Provider Identifier) 1417944240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jerrold Neil Flyer is physically located?
The Jerrold Neil Flyer is situated at the following address: 4476 Tuck St, Mountain Home Afb, ID 836481107.
What is Jerrold Neil Flyer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerrold Neil Flyer's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Jerrold Neil Flyer receive the assignment of its 1417944240 from the Centers for Medicare & Medicaid Services?
The Jerrold Neil Flyer was issued its 1417944240 by the Centers for Medicare & Medicaid Services on 2005-10-06.
When was the information regarding Jerrold Neil Flyer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerrold Neil Flyer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.