Blythe D Waltersdorf in Creston - Physician Assistant
Blythe D Waltersdorf - NPI 1669468385
Blythe D Waltersdorf is a Physician Assistant in Creston, Iowa. Blythe D Waltersdorf practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Blythe D Waltersdorf is 1669468385. The last update date is 2011-07-01.
Blythe D Waltersdorf's current location address is 1610 W Townline St, Creston, Iowa. You can contact this provider via phone number 6417822131 and fax number 6417826425. The mailing address for Blythe D Waltersdorf is 1610 W Townline St, Creston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blythe D Waltersdorf |
|---|---|
| Address | 1610 W Townline St, Creston, Iowa |
| Phone Number | 6417822131 |
| Fax Number | 6417826425 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1669468385 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2011-07-01 |
Provider Mailing Address Detail
| Address | 1610 W Townline St |
|---|---|
| City | Creston |
| State | Iowa (IA) |
| Post Code | 508011066 |
| Phone Number | 6417822131 |
| Fax Number | 6417826425 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1293 |
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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 identification code assigned to Blythe D Waltersdorf by the Centers for Medicare & Medicaid Services?
The Blythe D Waltersdorf has been issued the NPI (National Provider Identifier) 1669468385. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Blythe D Waltersdorf is located?
The Blythe D Waltersdorf is situated at the following address: 1610 W Townline St, Creston, IA, 508011066.
Could you kindly provide the complete physical address where Blythe D Waltersdorf's facilities are geographically located?
The facilities of Blythe D Waltersdorf are physically situated at the following location: 1610 W Townline St, Creston, IA, 508011066.
On what date did the Centers for Medicare & Medicaid Services assign the 1669468385 to Blythe D Waltersdorf?
The Centers for Medicare & Medicaid Services assigned the 1669468385 to Blythe D Waltersdorf on 2005-09-27.
As of what date was the information regarding Blythe D Waltersdorf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Blythe D Waltersdorf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-01.