Corbin D Tudor in Seattle - Physician Assistant
Corbin D Tudor - NPI 1538210711
Corbin D Tudor is a Physician Assistant in Seattle, Washington. Corbin D Tudor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Corbin D Tudor is 1538210711. The last update date is 2015-03-24.
Corbin D Tudor's current location address is 1100 9th Ave, Seattle, Washington. You can contact this provider via phone number 2062236600. The mailing address for Corbin D Tudor is 1100 9th Ave, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corbin D Tudor |
|---|---|
| Address | 1100 9th Ave, Seattle, Washington |
| Phone Number | 2062236600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1538210711 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2015-03-24 |
Provider Mailing Address Detail
| Address | 1100 9th Ave |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981012756 |
| Phone Number | 2062236600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004072 |
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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 |
|---|---|---|---|
| US2439370 | WA | AETNA SPECIALIST PIN | |
| 8329260 | WA | -- | |
| 39594 | WA | LABOR AND INDUSTRIES # | |
| 970021752 | WA | RAILROAD MC# | |
| 2541TU | WA | BLUE SHIELD # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Corbin D Tudor?
The Corbin D Tudor has been issued the NPI (National Provider Identifier) 1538210711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Corbin D Tudor is physically located?
The Corbin D Tudor is physically situated at the following address: 1100 9Th Ave, Seattle, WA, 981012756.
What is Corbin D Tudor's area of expertise and its corresponding taxonomy classification?
The Corbin D Tudor's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538210711 to Corbin D Tudor?
The Centers for Medicare & Medicaid Services originally issued the 1538210711 to Corbin D Tudor on 2007-01-15.
When was the information related to Corbin D Tudor most recently updated or refreshed?
The details pertaining to the Corbin D Tudor, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-24.
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