Edward Michael Outlaw in Stockton - Interventional Pain Medicine
Edward Michael Outlaw - NPI 1891792743
Edward Michael Outlaw is a Interventional Pain Medicine in Stockton, California. Edward Michael Outlaw practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Edward Michael Outlaw is 1891792743. The last update date is 2019-06-30.
Edward Michael Outlaw's current location address is 10926 Merritt Dr, Stockton, California. You can contact this provider via phone number 7025920713. The mailing address for Edward Michael Outlaw is 10926 Merritt Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Michael Outlaw |
|---|---|
| Address | 10926 Merritt Dr, Stockton, California |
| Phone Number | 7025920713 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891792743 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2019-06-30 |
Provider Mailing Address Detail
| Address | 10926 Merritt Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952197192 |
| Phone Number | 7025920713 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 10630 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100500786 | NV | -- |
Post Comment/ Review Below
What is the Edward Michael Outlaw's unique identification number?
The Edward Michael Outlaw has been assigned the NPI (National Provider Identifier) Number 1891792743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Edward Michael Outlaw is located?
The Edward Michael Outlaw is situated at the following address: 10926 Merritt Dr, Stockton, CA, 952197192.
What is Edward Michael Outlaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Michael Outlaw is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.
When did Edward Michael Outlaw receive its 1891792743 assignment?
The Edward Michael Outlaw was assigned its 1891792743 on 2005-07-07, which is the date when this unique identifier was issued to the organization.
When was the Edward Michael Outlaw's information last updated?
The Edward Michael Outlaw's information was last updated on 2019-06-30.