Jerome D Phaff in Minneapolis - Physician Assistant
Jerome D Phaff - NPI 1821196460
Jerome D Phaff is a Physician Assistant in Minneapolis, Minnesota. Jerome D Phaff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerome D Phaff is 1821196460. The last update date is 2019-07-31.
Jerome D Phaff's current location address is 4225 Golden Valley Road, Minneapolis, Minnesota. You can contact this provider via phone number 7635880661 and fax number 7633024218. The mailing address for Jerome D Phaff is 4225 Golden Valley Road, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome D Phaff |
|---|---|
| Address | 4225 Golden Valley Road, Minneapolis, Minnesota |
| Phone Number | 7635880661 |
| Fax Number | 7633024218 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1821196460 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 4225 Golden Valley Road |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554224215 |
| Phone Number | 7635880661 |
| Fax Number | 7633024218 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10758 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jerome D Phaff by the Centers for Medicare & Medicaid Services (CMS)?
The Jerome D Phaff has been assigned the NPI (National Provider Identifier) 1821196460. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jerome D Phaff's facilities are geographically located?
The facilities of Jerome D Phaff are physically situated at the following location: 4225 Golden Valley Road, Minneapolis, MN, 554224215.
What is Jerome D Phaff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerome D Phaff is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821196460 to Jerome D Phaff?
The Centers for Medicare & Medicaid Services originally issued the 1821196460 to Jerome D Phaff on 2006-09-20.
As of what date were the Jerome D Phaff's details last updated?
The information pertaining to the Jerome D Phaff, including its address, specialty, and other details, was most recently updated on 2019-07-31.