Robert B Packer in Canton - General Practice

Robert B Packer - NPI 1679572317

Robert B Packer is a General Practice in Canton, Ohio. Robert B Packer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert B Packer is 1679572317. The last update date is 2012-05-16.

Robert B Packer's current location address is 1330 Mercy Dr Nw, Canton, Ohio. You can contact this provider via phone number 3304891454 and fax number 3304306913. The mailing address for Robert B Packer is 1330 Mercy Dr Nw, Canton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert B Packer
Address 1330 Mercy Dr Nw, Canton, Ohio
Phone Number 3304891454
Fax Number 3304306913
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679572317
Provider Enumeration Date 2005-07-15
Last Updated Date 2012-05-16

Provider Mailing Address Detail

Address 1330 Mercy Dr Nw
City Canton
State Ohio (OH)
Post Code 44708
Phone Number 3304891454
Fax Number 3304306913

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 28167
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
168983 OH --

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FAQs about Robert B Packer

What is the unique 10-digit identification code assigned to Robert B Packer by the Centers for Medicare & Medicaid Services?

The Robert B Packer has been issued the NPI (National Provider Identifier) 1679572317, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Robert B Packer's physical address?

The Robert B Packer is physically located at 1330 Mercy Dr Nw, in the city of Canton, OH, with the postal code 44708.

What is Robert B Packer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert B Packer's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679572317 to Robert B Packer?

The Robert B Packer received its 1679572317 assignment from the Centers for Medicare & Medicaid Services on 2005-07-15.

As of what date were the details related to Robert B Packer most recently updated or revised?

The information pertaining to Robert B Packer, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-16.

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