Festus Idahosa-Erese in Barstow - Physician Assistant
Festus Idahosa-Erese - NPI 1871503342
Festus Idahosa-Erese is a Physician Assistant in Barstow, California. Festus Idahosa-Erese practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Festus Idahosa-Erese is 1871503342. The last update date is 2007-07-08.
Festus Idahosa-Erese's current location address is Po Box 487, Barstow, California. You can contact this provider via phone number 7609538059. The mailing address for Festus Idahosa-Erese is Po Box 487, Barstow, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Festus Idahosa-Erese |
|---|---|
| Address | Po Box 487, Barstow, California |
| Phone Number | 7609538059 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1871503342 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 487 |
|---|---|
| City | Barstow |
| State | California (CA) |
| Post Code | 923120487 |
| Phone Number | 7609538059 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C14079 |
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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 |
|---|---|---|---|
| C1584129 | CA | DRIVER'S LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Festus Idahosa-Erese by the Centers for Medicare & Medicaid Services?
The Festus Idahosa-Erese has been issued the NPI (National Provider Identifier) 1871503342, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Festus Idahosa-Erese is geographically located?
The Festus Idahosa-Erese is physically situated at the following location: Po Box 487, Barstow, CA, 923120487.
What is the Festus Idahosa-Erese's specialty and taxonomy code?
The Festus Idahosa-Erese's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Festus Idahosa-Erese receive the assignment of its 1871503342 from the Centers for Medicare & Medicaid Services?
The Festus Idahosa-Erese was issued its 1871503342 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date were the Festus Idahosa-Erese's details last updated?
The information pertaining to the Festus Idahosa-Erese, including its address, specialty, and other details, was most recently updated on 2007-07-08.