Trina Gebauer Blair in Bettendorf - Physician Assistant

Trina Gebauer Blair - NPI 1598738635

Trina Gebauer Blair is a Physician Assistant in Bettendorf, Iowa. Trina Gebauer Blair practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Trina Gebauer Blair is 1598738635. The last update date is 2014-01-15.

Trina Gebauer Blair's current location address is 3415 53rd Ave, Bettendorf, Iowa. You can contact this provider via phone number 5637424350 and fax number 5637424355. The mailing address for Trina Gebauer Blair is 3415 53rd Ave, Bettendorf, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Trina Gebauer Blair
Address 3415 53rd Ave, Bettendorf, Iowa
Phone Number 5637424350
Fax Number 5637424355
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1598738635
Provider Enumeration Date 2006-02-09
Last Updated Date 2014-01-15

Provider Mailing Address Detail

Address 3415 53rd Ave
City Bettendorf
State Iowa (IA)
Post Code 527226976
Phone Number 5637424350
Fax Number 5637424355

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85002304
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1598738635 IA --
P00277546 MEDICARE RAILROAD
116106 HEALTH ALLIANCE
37592 IA BLUE CROSS BLUE SHIELD

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FAQs about Trina Gebauer Blair

What is the unique identifier code issued to Trina Gebauer Blair by the Centers for Medicare & Medicaid Services (CMS)?

The Trina Gebauer Blair has been assigned the NPI (National Provider Identifier) 1598738635. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Trina Gebauer Blair's facilities are situated?

The facilities of Trina Gebauer Blair are physically located at the following address: 3415 53Rd Ave, Bettendorf, IA, 527226976.

What is the Trina Gebauer Blair's specialty and taxonomy code?

The Trina Gebauer Blair's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When did the Trina Gebauer Blair receive its 1598738635?

The Trina Gebauer Blair was issued its 1598738635 on 2006-02-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Trina Gebauer Blair's details last updated?

The information pertaining to the Trina Gebauer Blair, including its address, specialty, and other details, was most recently updated on 2014-01-15.

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