Brian Wallace Dorman in Eureka - Urology
Brian Wallace Dorman - NPI 1447278122
Brian Wallace Dorman is a Urology in Eureka, California. Brian Wallace Dorman practices all healthcare services and medical treatments related to Urology. The NPI Number for Brian Wallace Dorman is 1447278122. The last update date is 2021-10-21.
Brian Wallace Dorman's current location address is 2576 Renfren Street, Eureka, California. You can contact this provider via phone number 7074453257 and fax number 7074451027. The mailing address for Brian Wallace Dorman is 2576 Renfren Street, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wallace Dorman |
|---|---|
| Address | 2576 Renfren Street, Eureka, California |
| Phone Number | 7074453257 |
| Fax Number | 7074451027 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447278122 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2021-10-21 |
Provider Mailing Address Detail
| Address | 2576 Renfren Street |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 95501 |
| Phone Number | 7074453257 |
| Fax Number | 7074451027 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | G24506 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique 10-digit identifier code assigned to Brian Wallace Dorman by the Centers for Medicare & Medicaid Services?
The Brian Wallace Dorman has been issued the NPI (National Provider Identifier) 1447278122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brian Wallace Dorman?
The Brian Wallace Dorman is situated at 2576 Renfren Street, in the city of Eureka, state of CA, with the zip code 95501.
What is the Brian Wallace Dorman's specialty and taxonomy code?
The Brian Wallace Dorman's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did the Brian Wallace Dorman receive the assignment of its 1447278122 from the Centers for Medicare & Medicaid Services?
The Brian Wallace Dorman was issued its 1447278122 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date were the details related to Brian Wallace Dorman most recently updated or revised?
The information pertaining to Brian Wallace Dorman, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-21.