Stanley Idiculla is a Foot Surgery in Herndon, Virginia. Stanley Idiculla practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Stanley Idiculla is 1043274368. The last update date is 2013-12-18.
Stanley Idiculla's current location address is 112 Elden St, Herndon, Virginia. You can contact this provider via phone number 7034375353. The mailing address for Stanley Idiculla is 112 Elden St, Herndon, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley Idiculla |
|---|---|
| Address | 112 Elden St, Herndon, Virginia |
| Phone Number | 7034375353 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1043274368 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2013-12-18 |
Provider Mailing Address Detail
| Address | 112 Elden St |
|---|---|
| City | Herndon |
| State | Virginia (VA) |
| Post Code | 201704874 |
| Phone Number | 7034375353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | XXXX |
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Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Stanley Idiculla?
The Stanley Idiculla has been issued the NPI (National Provider Identifier) 1043274368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stanley Idiculla is physically located?
The Stanley Idiculla is situated at the following address: 112 Elden St, Herndon, VA 201704874.
What is Stanley Idiculla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stanley Idiculla is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.
When did Stanley Idiculla receive its 1043274368 assignment?
The Stanley Idiculla was assigned its 1043274368 on 2006-04-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Stanley Idiculla most recently updated or revised?
The information pertaining to Stanley Idiculla, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-18.
NPI Number: 1730182858
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