Jack Dial is a Physician Assistant in Panama City, Florida. Jack Dial practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jack Dial is 1467519116. The last update date is 2007-07-08.
Jack Dial's current location address is 204 E 19th St, Panama City, Florida. You can contact this provider via phone number 8507842105 and fax number 8505229453. The mailing address for Jack Dial is 204 E 19th St, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Dial |
|---|---|
| Address | 204 E 19th St, Panama City, Florida |
| Phone Number | 8507842105 |
| Fax Number | 8505229453 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1467519116 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 E 19th St |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324054707 |
| Phone Number | 8507842105 |
| Fax Number | 8505229453 |
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 identifier code issued to Jack Dial by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Dial has been assigned the NPI (National Provider Identifier) 1467519116. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jack Dial's physical address?
The Jack Dial is physically located at 204 E 19Th St, in the city of Panama City, FL, with the postal code 324054707.
What is the Jack Dial's specialty and taxonomy code?
The Jack Dial's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1467519116 assigned to Jack Dial?
The Jack Dial was issued its 1467519116 on 2007-01-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jack Dial last refreshed?
The information related to the Jack Dial, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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