Dominick Peter Trivisonno in Baker - General Practice
Dominick Peter Trivisonno - NPI 1235303801
Dominick Peter Trivisonno is a General Practice in Baker, Montana. Dominick Peter Trivisonno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dominick Peter Trivisonno is 1235303801. The last update date is 2012-01-30.
Dominick Peter Trivisonno's current location address is Po Box 1119, Baker, Montana. You can contact this provider via phone number 4067782833 and fax number 4067785131. The mailing address for Dominick Peter Trivisonno is Po Box 1119, Baker, Montana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dominick Peter Trivisonno |
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Address | Po Box 1119, Baker, Montana |
Phone Number | 4067782833 |
Fax Number | 4067785131 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1235303801 |
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Provider Enumeration Date | 2008-04-15 |
Last Updated Date | 2012-01-30 |
Provider Mailing Address Detail
Address | Po Box 1119 |
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City | Baker |
State | Montana (MT) |
Post Code | 593131119 |
Phone Number | 4067782833 |
Fax Number | 4067785131 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 173465 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code issued to Dominick Peter Trivisonno by the Centers for Medicare & Medicaid Services?
The Dominick Peter Trivisonno has been assigned the NPI (National Provider Identifier) 1235303801 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Dominick Peter Trivisonno's facilities are geographically located?
The facilities of Dominick Peter Trivisonno are physically situated at the following location: Po Box 1119, Baker, MT, 593131119.
What is Dominick Peter Trivisonno's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dominick Peter Trivisonno is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235303801 to Dominick Peter Trivisonno?
The Centers for Medicare & Medicaid Services originally issued the 1235303801 to Dominick Peter Trivisonno on 2008-04-15.
As of what date were the details pertaining to Dominick Peter Trivisonno last refreshed?
The information related to the Dominick Peter Trivisonno, including its address, specialty, and other relevant details, was last updated on 2012-01-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY