Eagan Valley Pediatrics, P.A. in Apple Valley - Clinic/center
Eagan Valley Pediatrics, P.A. - NPI 1528050119
Eagan Valley Pediatrics, P.A. is a Clinic/center in Apple Valley, Minnesota. Eagan Valley Pediatrics, P.A. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Eagan Valley Pediatrics, P.A. is 1528050119. The last update date is 2020-08-22.
Eagan Valley Pediatrics, P.A.'s current location address is 14135 Cedar Ave, Apple Valley, Minnesota. You can contact this provider via phone number 9524324373 and fax number 9529975679. The mailing address for Eagan Valley Pediatrics, P.A. is 14135 Cedar Ave, Apple Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagan Valley Pediatrics, P.A. |
|---|---|
| Address | 14135 Cedar Ave, Apple Valley, Minnesota |
| Phone Number | 9524324373 |
| Fax Number | 9529975679 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dufort E James |
| Credentials | M.D. |
| Telephone Number | 9524324373 |
NPI Number Detail
| NPI Number | 1528050119 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14135 Cedar Ave |
|---|---|
| City | Apple Valley |
| State | Minnesota (MN) |
| Post Code | 551244522 |
| Phone Number | 9524324373 |
| Fax Number | 9529975679 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eagan Valley Pediatrics, P.A. by the Centers for Medicare & Medicaid Services?
The Eagan Valley Pediatrics, P.A. has been issued the NPI (National Provider Identifier) 1528050119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eagan Valley Pediatrics, P.A.'s physical address?
The Eagan Valley Pediatrics, P.A. is physically located at 14135 Cedar Ave, in the city of Apple Valley, MN, with the postal code 551244522.
What is the area of specialization for Eagan Valley Pediatrics, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eagan Valley Pediatrics, P.A. is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528050119 to Eagan Valley Pediatrics, P.A.?
The Eagan Valley Pediatrics, P.A. received its 1528050119 assignment from the Centers for Medicare & Medicaid Services on 2005-08-19.
As of what date were the details related to Eagan Valley Pediatrics, P.A. most recently updated or revised?
The information pertaining to Eagan Valley Pediatrics, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.