Magen Morine Blades in Springfield - Physician Assistant
Magen Morine Blades - NPI 1811162852
Magen Morine Blades is a Physician Assistant in Springfield, Missouri. Magen Morine Blades practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Magen Morine Blades is 1811162852. The last update date is 2016-12-29.
Magen Morine Blades's current location address is 1242 E. Independence, Springfield, Missouri. You can contact this provider via phone number 4178835500 and fax number 4178835577. The mailing address for Magen Morine Blades is 1242 E. Independence, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Magen Morine Blades |
|---|---|
| Address | 1242 E. Independence, Springfield, Missouri |
| Phone Number | 4178835500 |
| Fax Number | 4178835577 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1811162852 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 1242 E. Independence |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 65804 |
| Phone Number | 4178835500 |
| Fax Number | 4178835577 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2008009941 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1811162852 | MO | TRICARE | |
| P00957131 | MO | PALMETTO GBA RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Magen Morine Blades by the Centers for Medicare & Medicaid Services?
The Magen Morine Blades has been assigned the NPI (National Provider Identifier) 1811162852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Magen Morine Blades is physically located?
The Magen Morine Blades is physically situated at the following address: 1242 E. Independence, Springfield, MO, 65804.
What is Magen Morine Blades's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Magen Morine Blades'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 Centers for Medicare & Medicaid Services issue the 1811162852 to Magen Morine Blades?
The Magen Morine Blades received its 1811162852 assignment from the Centers for Medicare & Medicaid Services on 2008-04-29.
As of what date were the details pertaining to Magen Morine Blades last refreshed?
The information related to the Magen Morine Blades, including its address, specialty, and other relevant details, was last updated on 2016-12-29.
NPI Number: 1225026222
Address: 300 Twining St Bldg 760, Maxwell Afb, AL