George Dale Mulder in Saint Joseph - Trauma Surgery
George Dale Mulder - NPI 1629007208
George Dale Mulder is a Trauma Surgery in Saint Joseph, Missouri. George Dale Mulder practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for George Dale Mulder is 1629007208. The last update date is 2011-02-28.
George Dale Mulder's current location address is 802 N. Riverside Rd.,, Saint Joseph, Missouri. You can contact this provider via phone number 8166714888 and fax number 8166714890. The mailing address for George Dale Mulder is 802 N. Riverside Rd.,, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Dale Mulder |
|---|---|
| Address | 802 N. Riverside Rd.,, Saint Joseph, Missouri |
| Phone Number | 8166714888 |
| Fax Number | 8166714890 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629007208 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2011-02-28 |
Provider Mailing Address Detail
| Address | 802 N. Riverside Rd., |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645072553 |
| Phone Number | 8166714888 |
| Fax Number | 8166714890 |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | R7297 |
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Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10001089301 | MO | COMMUNITY HEALTH PLAN | |
| P00208226 | MO | RR MEDICARE | |
| 100206190B | KS | -- | |
| 201022217 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to George Dale Mulder by the Centers for Medicare & Medicaid Services?
The George Dale Mulder has been assigned the NPI (National Provider Identifier) 1629007208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where George Dale Mulder is geographically located?
The George Dale Mulder is physically situated at the following location: 802 N. Riverside Rd.,, Saint Joseph, MO, 645072553.
What is the George Dale Mulder's specialty and taxonomy code?
The George Dale Mulder's specialty is Trauma Surgery, and the corresponding taxonomy code is 2086S0127X.
On what date was the 1629007208 assigned to George Dale Mulder?
The George Dale Mulder was issued its 1629007208 on 2006-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to George Dale Mulder most recently updated or revised?
The details related to George Dale Mulder, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-28.