Blynn L Shideler is a Surgery in Issaquah, Washington. Blynn L Shideler practices all healthcare services and medical treatments related to Surgery. The NPI Number for Blynn L Shideler is 1265524912. The last update date is 2007-07-08.
Blynn L Shideler's current location address is 1420 Nw Gilman Blvd, Issaquah, Washington. You can contact this provider via phone number 4259961001 and fax number 2066005033. The mailing address for Blynn L Shideler is 1420 Nw Gilman Blvd, Issaquah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blynn L Shideler |
|---|---|
| Address | 1420 Nw Gilman Blvd, Issaquah, Washington |
| Phone Number | 4259961001 |
| Fax Number | 2066005033 |
| Sole Proprietor | N |
| Credentials | M.D., P.C. |
NPI Number Detail
| NPI Number | 1265524912 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1420 Nw Gilman Blvd |
|---|---|
| City | Issaquah |
| State | Washington (WA) |
| Post Code | 980275394 |
| Phone Number | 4259961001 |
| Fax Number | 2066005033 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | G23099 |
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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 Blynn L Shideler's 1265524912?
The Blynn L Shideler's NPI (National Provider Identifier) Number is 1265524912. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Blynn L Shideler is geographically located?
The Blynn L Shideler is physically situated at the following location: 1420 Nw Gilman Blvd, Issaquah, WA, 980275394.
What is Blynn L Shideler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blynn L Shideler's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did the Blynn L Shideler receive its 1265524912?
The Blynn L Shideler was issued its 1265524912 on 2006-09-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Blynn L Shideler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blynn L Shideler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.