Dax Grice is a Physician Assistant in San Jose, California. Dax Grice practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dax Grice is 1174703490. The last update date is 2010-03-29.
Dax Grice's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088856900. The mailing address for Dax Grice is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dax Grice |
|---|---|
| Address | 751 S Bascom Ave, San Jose, California |
| Phone Number | 4088856900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174703490 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 751 S Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282604 |
| Phone Number | 4088856900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 19276 |
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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 10-digit identifier code issued to Dax Grice by the Centers for Medicare & Medicaid Services?
The Dax Grice has been assigned the NPI (National Provider Identifier) 1174703490 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dax Grice's facilities are geographically located?
The facilities of Dax Grice are physically situated at the following location: 751 S Bascom Ave, San Jose, CA, 951282604.
What is Dax Grice'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 Dax Grice is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Dax Grice receive its 1174703490 assignment from the Centers for Medicare & Medicaid Services?
The Dax Grice was assigned its 1174703490 on 2007-11-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dax Grice most recently updated?
The details pertaining to the Dax Grice, including its address, specialty, and other relevant information, were last refreshed on 2010-03-29.