Terry Villarreal-Golb in Fruita - Physician Assistant
Terry Villarreal-Golb - NPI 1710936315
Terry Villarreal-Golb is a Physician Assistant in Fruita, Colorado. Terry Villarreal-Golb practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Terry Villarreal-Golb is 1710936315. The last update date is 2019-04-16.
Terry Villarreal-Golb's current location address is Po Box 130, Fruita, Colorado. You can contact this provider via phone number 9708589894 and fax number 9708581331. The mailing address for Terry Villarreal-Golb is Po Box 130, Fruita, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Villarreal-Golb |
|---|---|
| Address | Po Box 130, Fruita, Colorado |
| Phone Number | 9708589894 |
| Fax Number | 9708581331 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1710936315 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2019-04-16 |
Provider Mailing Address Detail
| Address | Po Box 130 |
|---|---|
| City | Fruita |
| State | Colorado (CO) |
| Post Code | 815210130 |
| Phone Number | 9708589894 |
| Fax Number | 9708581331 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA.0001524 |
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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 |
|---|---|---|---|
| 37125541 | CO | -- |
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What is the Terry Villarreal-Golb's unique identification number?
The Terry Villarreal-Golb has been assigned the NPI (National Provider Identifier) Number 1710936315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Terry Villarreal-Golb's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terry Villarreal-Golb is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Terry Villarreal-Golb receive its 1710936315 assignment from the Centers for Medicare & Medicaid Services?
The Terry Villarreal-Golb was assigned its 1710936315 by the Centers for Medicare & Medicaid Services on 2006-05-09.
As of what date were the Terry Villarreal-Golb's details last updated?
The information pertaining to the Terry Villarreal-Golb, including its address, specialty, and other details, was most recently updated on 2019-04-16.
As of what date were the details related to Terry Villarreal-Golb most recently updated or revised?
The information pertaining to Terry Villarreal-Golb, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-16.