Randy L Panke is a Physician Assistant in Groton, Connecticut. Randy L Panke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randy L Panke is 1285699488. The last update date is 2014-04-24.
Randy L Panke's current location address is Po Box 159, Groton, Connecticut. You can contact this provider via phone number 8606946464. The mailing address for Randy L Panke is Po Box 159, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy L Panke |
|---|---|
| Address | Po Box 159, Groton, Connecticut |
| Phone Number | 8606946464 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NCCPA |
NPI Number Detail
| NPI Number | 1285699488 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2014-04-24 |
Provider Mailing Address Detail
| Address | Po Box 159 |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63495159 |
| Phone Number | 8606946464 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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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 identification code issued to Randy L Panke by the Centers for Medicare & Medicaid Services?
The Randy L Panke has been assigned the NPI (National Provider Identifier) 1285699488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Randy L Panke is physically located?
The Randy L Panke is situated at the following address: Po Box 159, Groton, CT 63495159.
What is the Randy L Panke's specialty and taxonomy code?
The Randy L Panke's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Randy L Panke receive its 1285699488 assignment from the Centers for Medicare & Medicaid Services?
The Randy L Panke was assigned its 1285699488 by the Centers for Medicare & Medicaid Services on 2006-04-19.
As of what date were the details related to Randy L Panke most recently updated or revised?
The information pertaining to Randy L Panke, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-24.