Rodney Larcom in Brockton - Physician Assistant

Rodney Larcom - NPI 1467483008

Rodney Larcom is a Physician Assistant in Brockton, Massachusetts. Rodney Larcom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rodney Larcom is 1467483008. The last update date is 2016-06-15.

Rodney Larcom's current location address is 110 Liberty St, Brockton, Massachusetts. You can contact this provider via phone number 5085653055 and fax number 5088940757. The mailing address for Rodney Larcom is 110 Liberty St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodney Larcom
Address 110 Liberty St, Brockton, Massachusetts
Phone Number 5085653055
Fax Number 5088940757
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1467483008
Provider Enumeration Date 2006-07-05
Last Updated Date 2016-06-15

Provider Mailing Address Detail

Address 110 Liberty St
City Brockton
State Massachusetts (MA)
Post Code 23015521
Phone Number 5085653055
Fax Number 5088940757

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 596
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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FAQs about Rodney Larcom

What is the unique 10-digit identification code issued to Rodney Larcom by the Centers for Medicare & Medicaid Services?

The Rodney Larcom has been assigned the NPI (National Provider Identifier) 1467483008 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 Rodney Larcom is physically located?

The Rodney Larcom is situated at the following address: 110 Liberty St, Brockton, MA 23015521.

What is Rodney Larcom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rodney Larcom's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Rodney Larcom receive the assignment of its 1467483008 from the Centers for Medicare & Medicaid Services?

The Rodney Larcom was issued its 1467483008 by the Centers for Medicare & Medicaid Services on 2006-07-05.

As of what date were the details related to Rodney Larcom most recently updated or revised?

The information pertaining to Rodney Larcom, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-15.

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