Russel Grover Ladwig in Fresno - Physician Assistant
Russel Grover Ladwig - NPI 1235163858
Russel Grover Ladwig is a Physician Assistant in Fresno, California. Russel Grover Ladwig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Russel Grover Ladwig is 1235163858. The last update date is 2022-03-23.
Russel Grover Ladwig's current location address is 644 E Pintail Circle, Fresno, California. You can contact this provider via phone number 5994339282. The mailing address for Russel Grover Ladwig is 644 E Pintail Circle, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russel Grover Ladwig |
|---|---|
| Address | 644 E Pintail Circle, Fresno, California |
| Phone Number | 5994339282 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1235163858 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 644 E Pintail Circle |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937201266 |
| Phone Number | 5994339282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17196 |
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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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What is the unique identification code assigned to Russel Grover Ladwig by the Centers for Medicare & Medicaid Services?
The Russel Grover Ladwig has been issued the NPI (National Provider Identifier) 1235163858. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russel Grover Ladwig is located?
The Russel Grover Ladwig is situated at the following address: 644 E Pintail Circle, Fresno, CA, 937201266.
What is Russel Grover Ladwig's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russel Grover Ladwig's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Russel Grover Ladwig receive its 1235163858 assignment from the Centers for Medicare & Medicaid Services?
The Russel Grover Ladwig was assigned its 1235163858 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1235163858 to Russel Grover Ladwig?
The Centers for Medicare & Medicaid Services assigned the 1235163858 to Russel Grover Ladwig on 2006-07-10.