David A Blomgren in Spokane Valley - Physician Assistant

David A Blomgren - NPI 1184788127

David A Blomgren is a Physician Assistant in Spokane Valley, Washington. David A Blomgren practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David A Blomgren is 1184788127. The last update date is 2008-05-09.

David A Blomgren's current location address is 14402 E Sprague Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099222625. The mailing address for David A Blomgren is 14402 E Sprague Ave, Spokane Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name David A Blomgren
Address 14402 E Sprague Ave, Spokane Valley, Washington
Phone Number 5099222625
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1184788127
Provider Enumeration Date 2006-12-21
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 14402 E Sprague Ave
City Spokane Valley
State Washington (WA)
Post Code 992162167
Phone Number 5099222625
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10000150
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8487605 WA --

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FAQs about David A Blomgren

What is the unique identifier code issued to David A Blomgren by the Centers for Medicare & Medicaid Services (CMS)?

The David A Blomgren has been assigned the NPI (National Provider Identifier) 1184788127. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where David A Blomgren is physically located?

The David A Blomgren is situated at the following address: 14402 E Sprague Ave, Spokane Valley, WA 992162167.

What is David A Blomgren's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David A Blomgren is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184788127 to David A Blomgren?

The Centers for Medicare & Medicaid Services assigned the 1184788127 to David A Blomgren on 2006-12-21.

When was the information pertaining to David A Blomgren most recently updated or revised?

The details related to David A Blomgren, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-09.

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