Wesley W Broeder in Spearfish - Physician Assistant
Wesley W Broeder - NPI 1598952822
Wesley W Broeder is a Physician Assistant in Spearfish, South Dakota. Wesley W Broeder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wesley W Broeder is 1598952822. The last update date is 2013-02-05.
Wesley W Broeder's current location address is 2479 E Colorado Blvd, Spearfish, South Dakota. You can contact this provider via phone number 6056444460 and fax number 6056444461. The mailing address for Wesley W Broeder is 2479 E Colorado Blvd, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wesley W Broeder |
|---|---|
| Address | 2479 E Colorado Blvd, Spearfish, South Dakota |
| Phone Number | 6056444460 |
| Fax Number | 6056444461 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1598952822 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2013-02-05 |
Provider Mailing Address Detail
| Address | 2479 E Colorado Blvd |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577833204 |
| Phone Number | 6056444460 |
| Fax Number | 6056444461 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 657 |
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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 Wesley W Broeder by the Centers for Medicare & Medicaid Services?
The Wesley W Broeder has been assigned the NPI (National Provider Identifier) 1598952822. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wesley W Broeder's facilities are geographically located?
The facilities of Wesley W Broeder are physically situated at the following location: 2479 E Colorado Blvd, Spearfish, SD, 577833204.
What is the Wesley W Broeder's area of specialization and corresponding taxonomy classification?
The Wesley W Broeder's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1598952822 to Wesley W Broeder?
The Centers for Medicare & Medicaid Services assigned the 1598952822 to Wesley W Broeder on 2007-10-01.
As of what date were the details related to Wesley W Broeder most recently updated or revised?
The information pertaining to Wesley W Broeder, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-05.