Maria Therese Boedigheimer in Prescott - Physician Assistant
Maria Therese Boedigheimer - NPI 1609862275
Maria Therese Boedigheimer is a Physician Assistant in Prescott, Arizona. Maria Therese Boedigheimer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maria Therese Boedigheimer is 1609862275. The last update date is 2017-02-10.
Maria Therese Boedigheimer's current location address is 3120 Clearwater Dr, Prescott, Arizona. You can contact this provider via phone number 9287713704 and fax number 9287710434. The mailing address for Maria Therese Boedigheimer is 3120 Clearwater Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria Therese Boedigheimer |
|---|---|
| Address | 3120 Clearwater Dr, Prescott, Arizona |
| Phone Number | 9287713704 |
| Fax Number | 9287710434 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1609862275 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 3120 Clearwater Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863057131 |
| Phone Number | 9287713704 |
| Fax Number | 9287710434 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85000971 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4435 | AZ | AZ LICENSE | |
| 927112 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maria Therese Boedigheimer by the Centers for Medicare & Medicaid Services?
The Maria Therese Boedigheimer has been assigned the NPI (National Provider Identifier) 1609862275 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Maria Therese Boedigheimer located?
The Maria Therese Boedigheimer is located at 3120 Clearwater Dr, Prescott, AZ 863057131.
What is Maria Therese Boedigheimer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Maria Therese Boedigheimer's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Maria Therese Boedigheimer receive the assignment of its 1609862275 from the Centers for Medicare & Medicaid Services?
The Maria Therese Boedigheimer was issued its 1609862275 by the Centers for Medicare & Medicaid Services on 2005-09-20.
As of what date were the details related to Maria Therese Boedigheimer most recently updated or revised?
The information pertaining to Maria Therese Boedigheimer, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-10.