Starla Secrest in Meeker - Physician Assistant
Starla Secrest - NPI 1609812643
Starla Secrest is a Physician Assistant in Meeker, Colorado. Starla Secrest practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Starla Secrest is 1609812643. The last update date is 2021-02-02.
Starla Secrest's current location address is 100 Pmc Dr, Meeker, Colorado. You can contact this provider via phone number 9708784014 and fax number 9708780019. The mailing address for Starla Secrest is 100 Pmc Dr, Meeker, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Starla Secrest |
|---|---|
| Address | 100 Pmc Dr, Meeker, Colorado |
| Phone Number | 9708784014 |
| Fax Number | 9708780019 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1609812643 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2021-02-02 |
Provider Mailing Address Detail
| Address | 100 Pmc Dr |
|---|---|
| City | Meeker |
| State | Colorado (CO) |
| Post Code | 816413181 |
| Phone Number | 9708784014 |
| Fax Number | 9708780019 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1495 |
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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 |
|---|---|---|---|
| 78105544 | CO | -- |
Post Comment/ Review Below
What is the Starla Secrest's unique identification number?
The Starla Secrest has been assigned the NPI (National Provider Identifier) Number 1609812643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Starla Secrest is physically located?
The Starla Secrest is physically situated at the following address: 100 Pmc Dr, Meeker, CO, 816413181.
What is the Starla Secrest's area of specialization and corresponding taxonomy classification?
The Starla Secrest's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Starla Secrest receive its 1609812643 assignment from the Centers for Medicare & Medicaid Services?
The Starla Secrest was assigned its 1609812643 by the Centers for Medicare & Medicaid Services on 2006-06-20.
As of what date were the details related to Starla Secrest most recently updated or revised?
The information pertaining to Starla Secrest, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY