Gloria D Walz is a Physician Assistant in Custer, South Dakota. Gloria D Walz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gloria D Walz is 1326028937. The last update date is 2013-01-23.
Gloria D Walz's current location address is 1041 Montgomery Street, Custer, South Dakota. You can contact this provider via phone number 6056734150 and fax number 6056733917. The mailing address for Gloria D Walz is 1041 Montgomery Street, Custer, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria D Walz |
|---|---|
| Address | 1041 Montgomery Street, Custer, South Dakota |
| Phone Number | 6056734150 |
| Fax Number | 6056733917 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1326028937 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2013-01-23 |
Provider Mailing Address Detail
| Address | 1041 Montgomery Street |
|---|---|
| City | Custer |
| State | South Dakota (SD) |
| Post Code | 577301304 |
| Phone Number | 6056734150 |
| Fax Number | 6056733917 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 270 |
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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 |
|---|---|---|---|
| 970015058 | MEDICARE RAILROAD PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gloria D Walz by the Centers for Medicare & Medicaid Services?
The Gloria D Walz has been assigned the NPI (National Provider Identifier) 1326028937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gloria D Walz is located?
The Gloria D Walz is situated at the following address: 1041 Montgomery Street, Custer, SD, 577301304.
What is Gloria D Walz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gloria D Walz is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Gloria D Walz receive its 1326028937 assignment from the Centers for Medicare & Medicaid Services?
The Gloria D Walz was assigned its 1326028937 by the Centers for Medicare & Medicaid Services on 2006-01-19.
When was the information related to Gloria D Walz most recently updated or refreshed?
The details pertaining to the Gloria D Walz, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-01-23.
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