David Vance Vanek is a Surgery in Pocatello, Idaho. David Vance Vanek practices all healthcare services and medical treatments related to Surgery. The NPI Number for David Vance Vanek is 1689669772. The last update date is 2007-07-08.
David Vance Vanek's current location address is 9395 W Pocatello Creek Rd, Pocatello, Idaho. You can contact this provider via phone number 2082321162 and fax number 2082321162. The mailing address for David Vance Vanek is 9395 W Pocatello Creek Rd, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Vance Vanek |
|---|---|
| Address | 9395 W Pocatello Creek Rd, Pocatello, Idaho |
| Phone Number | 2082321162 |
| Fax Number | 2082321162 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689669772 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9395 W Pocatello Creek Rd |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832019049 |
| Phone Number | 2082321162 |
| Fax Number | 2082321162 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M4597 |
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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 |
|---|---|---|---|
| 10005817 | ID | REGENCE BLUE SHIELD OF ID | |
| 45971 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Vance Vanek by the Centers for Medicare & Medicaid Services?
The David Vance Vanek has been issued the NPI (National Provider Identifier) 1689669772 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Vance Vanek is geographically located?
The David Vance Vanek is physically situated at the following location: 9395 W Pocatello Creek Rd, Pocatello, ID, 832019049.
What is David Vance Vanek's area of expertise and its corresponding taxonomy classification?
The David Vance Vanek's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689669772 to David Vance Vanek?
The Centers for Medicare & Medicaid Services originally issued the 1689669772 to David Vance Vanek on 2005-09-14.
When was the information related to David Vance Vanek most recently updated or refreshed?
The details pertaining to the David Vance Vanek, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.