John Willis Puckett in Newport Beach - Vascular Surgery
John Willis Puckett - NPI 1306938022
John Willis Puckett is a Vascular Surgery in Newport Beach, California. John Willis Puckett practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John Willis Puckett is 1306938022. The last update date is 2014-01-27.
John Willis Puckett's current location address is 520 Superior Ave, Newport Beach, California. You can contact this provider via phone number 9495747176 and fax number 9495747180. The mailing address for John Willis Puckett is 520 Superior Ave, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Willis Puckett |
|---|---|
| Address | 520 Superior Ave, Newport Beach, California |
| Phone Number | 9495747176 |
| Fax Number | 9495747180 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306938022 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2014-01-27 |
Provider Mailing Address Detail
| Address | 520 Superior Ave |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926633637 |
| Phone Number | 9495747176 |
| Fax Number | 9495747180 |
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 10-digit identification code issued to John Willis Puckett by the Centers for Medicare & Medicaid Services?
The John Willis Puckett has been assigned the NPI (National Provider Identifier) 1306938022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where John Willis Puckett is geographically located?
The John Willis Puckett is physically situated at the following location: 520 Superior Ave, Newport Beach, CA, 926633637.
What is the John Willis Puckett's specialty and taxonomy code?
The John Willis Puckett's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306938022 to John Willis Puckett?
The John Willis Puckett received its 1306938022 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the John Willis Puckett's details last updated?
The information pertaining to the John Willis Puckett, including its address, specialty, and other details, was most recently updated on 2014-01-27.