John W Puckett Md Facs Inc in Newport Beach - Vascular Surgery
John W Puckett Md Facs Inc - NPI 1841419454
John W Puckett Md Facs Inc is a Vascular Surgery in Newport Beach, California. John W Puckett Md Facs Inc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John W Puckett Md Facs Inc is 1841419454. The last update date is 2014-02-03.
John W Puckett Md Facs Inc's current location address is 520 Superior Ave, Newport Beach, California. You can contact this provider via phone number 9495747176 and fax number 9795747180. The mailing address for John W Puckett Md Facs Inc is 520 Superior Ave, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John W Puckett Md Facs Inc |
|---|---|
| Address | 520 Superior Ave, Newport Beach, California |
| Phone Number | 9495747176 |
| Fax Number | 9795747180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VASCULAR S |
|---|---|
| Authorized Official Name | Puckett Willis John |
| Credentials | MD |
| Telephone Number | 9495747176 |
NPI Number Detail
| NPI Number | 1841419454 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 520 Superior Ave |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926633637 |
| Phone Number | 9495747176 |
| Fax Number | 9795747180 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G38172A |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John W Puckett Md Facs Inc?
The John W Puckett Md Facs Inc has been issued the NPI (National Provider Identifier) 1841419454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where John W Puckett Md Facs Inc's facilities are situated?
The facilities of John W Puckett Md Facs Inc are physically located at the following address: 520 Superior Ave, Newport Beach, CA, 926633637.
What is John W Puckett Md Facs Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John W Puckett Md Facs Inc's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841419454 to John W Puckett Md Facs Inc?
The Centers for Medicare & Medicaid Services assigned the 1841419454 to John W Puckett Md Facs Inc on 2007-04-24.
When was the information related to John W Puckett Md Facs Inc most recently updated or refreshed?
The details pertaining to the John W Puckett Md Facs Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-03.