Dale Phillip Greyslak in Melbourne - Physician Assistant
Dale Phillip Greyslak - NPI 1669648754
Dale Phillip Greyslak is a Physician Assistant in Melbourne, Florida. Dale Phillip Greyslak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dale Phillip Greyslak is 1669648754. The last update date is 2023-02-14.
Dale Phillip Greyslak's current location address is Po Box 410185, Melbourne, Florida. You can contact this provider via phone number 4074510192. The mailing address for Dale Phillip Greyslak is Po Box 410185, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Phillip Greyslak |
|---|---|
| Address | Po Box 410185, Melbourne, Florida |
| Phone Number | 4074510192 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1669648754 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | Po Box 410185 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329410185 |
| Phone Number | 4074510192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104508 |
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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 identifier code issued to Dale Phillip Greyslak by the Centers for Medicare & Medicaid Services (CMS)?
The Dale Phillip Greyslak has been assigned the NPI (National Provider Identifier) 1669648754. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dale Phillip Greyslak located?
The Dale Phillip Greyslak is located at Po Box 410185, Melbourne, FL 329410185.
What is Dale Phillip Greyslak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dale Phillip Greyslak is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Dale Phillip Greyslak receive its 1669648754 assignment from the Centers for Medicare & Medicaid Services?
The Dale Phillip Greyslak was assigned its 1669648754 on 2008-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dale Phillip Greyslak's details last updated?
The information pertaining to the Dale Phillip Greyslak, including its address, specialty, and other details, was most recently updated on 2023-02-14.
NPI Number: 1881683084
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