Samuel C Mintz in Glendive - Physician Assistant

Samuel C Mintz - NPI 1194822114

Samuel C Mintz is a Physician Assistant in Glendive, Montana. Samuel C Mintz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Samuel C Mintz is 1194822114. The last update date is 2008-05-02.

Samuel C Mintz's current location address is 202 Prospect Dr, Glendive, Montana. You can contact this provider via phone number 4063453306 and fax number 4063453358. The mailing address for Samuel C Mintz is 202 Prospect Dr, Glendive, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel C Mintz
Address 202 Prospect Dr, Glendive, Montana
Phone Number 4063453306
Fax Number 4063453358
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1194822114
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-05-02

Provider Mailing Address Detail

Address 202 Prospect Dr
City Glendive
State Montana (MT)
Post Code 593301943
Phone Number 4063453306
Fax Number 4063453358

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 59
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 Samuel C Mintz

What is the unique 10-digit identifier code assigned to Samuel C Mintz by the Centers for Medicare & Medicaid Services?

The Samuel C Mintz has been issued the NPI (National Provider Identifier) 1194822114 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Samuel C Mintz is located?

The Samuel C Mintz is situated at the following address: 202 Prospect Dr, Glendive, MT, 593301943.

What is Samuel C Mintz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel C Mintz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194822114 to Samuel C Mintz?

The Centers for Medicare & Medicaid Services assigned the 1194822114 to Samuel C Mintz on 2006-09-20.

When was the Samuel C Mintz's information last updated?

The Samuel C Mintz's information was last updated on 2008-05-02.

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