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 |
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Address | 110 Liberty St, Brockton, Massachusetts |
Phone Number | 5085653055 |
Fax Number | 5088940757 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1467483008 |
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Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
Address | 110 Liberty St |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 23015521 |
Phone Number | 5085653055 |
Fax Number | 5088940757 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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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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.