Fred J Dery in Iowa City - Pain Medicine

Fred J Dery - NPI 1457569188

Fred J Dery is a Pain Medicine in Iowa City, Iowa. Fred J Dery practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Fred J Dery is 1457569188. The last update date is 2022-10-21.

Fred J Dery's current location address is 2751 Northgate Dr, Iowa City, Iowa. You can contact this provider via phone number 3193383606 and fax number 3193380522. The mailing address for Fred J Dery is 2751 Northgate Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred J Dery
Address 2751 Northgate Dr, Iowa City, Iowa
Phone Number 3193383606
Fax Number 3193380522
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457569188
Provider Enumeration Date 2007-05-18
Last Updated Date 2022-10-21

Provider Mailing Address Detail

Address 2751 Northgate Dr
City Iowa City
State Iowa (IA)
Post Code 522459509
Phone Number 3193383606
Fax Number 3193380522

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 208Vp0000X
Licence No 38968
Definition:
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
I75560005 IA MEDICARE PTAN
1457569188 IA --

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FAQs about Fred J Dery

What is the unique 10-digit identifier code issued to Fred J Dery by the Centers for Medicare & Medicaid Services?

The Fred J Dery has been assigned the NPI (National Provider Identifier) 1457569188 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Fred J Dery located?

The Fred J Dery is located at 2751 Northgate Dr, Iowa City, IA 522459509.

What is Fred J Dery's area of expertise and its corresponding taxonomy classification?

The Fred J Dery's field of specialization is Pain Medicine, and it falls under the taxonomy code 208Vp0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457569188 to Fred J Dery?

The Centers for Medicare & Medicaid Services originally issued the 1457569188 to Fred J Dery on 2007-05-18.

As of what date was the information regarding Fred J Dery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fred J Dery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-21.

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