Myron Roddenberry in Greensboro - Physician Assistant
Myron Roddenberry - NPI 1346245040
Myron Roddenberry is a Physician Assistant in Greensboro, North Carolina. Myron Roddenberry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Myron Roddenberry is 1346245040. The last update date is 2021-08-25.
Myron Roddenberry's current location address is 301 E Wendover Ave Ste 411, Greensboro, North Carolina. You can contact this provider via phone number 3368323200. The mailing address for Myron Roddenberry is 301 E Wendover Ave Ste 411, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myron Roddenberry |
|---|---|
| Address | 301 E Wendover Ave Ste 411, Greensboro, North Carolina |
| Phone Number | 3368323200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1346245040 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2021-08-25 |
Provider Mailing Address Detail
| Address | 301 E Wendover Ave Ste 411 |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 2740112110 |
| Phone Number | 3368323200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 101195 |
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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 provider identifier assigned to Myron Roddenberry?
The Myron Roddenberry has been issued the NPI (National Provider Identifier) 1346245040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Myron Roddenberry?
The Myron Roddenberry is situated at 301 E Wendover Ave Ste 411, in the city of Greensboro, state of NC, with the zip code 2740112110.
What is the area of specialization for Myron Roddenberry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Myron Roddenberry is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Myron Roddenberry receive the assignment of its 1346245040 from the Centers for Medicare & Medicaid Services?
The Myron Roddenberry was issued its 1346245040 by the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date were the details related to Myron Roddenberry most recently updated or revised?
The information pertaining to Myron Roddenberry, including its address, specialty, and other relevant details, was last updated or revised on 2021-08-25.