John Fitzgerald Detro in Fort Benning - Medical
John Fitzgerald Detro - NPI 1548343841
John Fitzgerald Detro is a Medical in Fort Benning, Georgia. John Fitzgerald Detro practices all healthcare services and medical treatments related to Medical. The NPI Number for John Fitzgerald Detro is 1548343841. The last update date is 2007-07-08.
John Fitzgerald Detro's current location address is 7950 Martin Loop, Fort Benning, Georgia. You can contact this provider via phone number 7065453958 and fax number 7065455762. The mailing address for John Fitzgerald Detro is 7950 Martin Loop, Fort Benning, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Fitzgerald Detro |
|---|---|
| Address | 7950 Martin Loop, Fort Benning, Georgia |
| Phone Number | 7065453958 |
| Fax Number | 7065455762 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1548343841 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7950 Martin Loop |
|---|---|
| City | Fort Benning |
| State | Georgia (GA) |
| Post Code | 319055647 |
| Phone Number | 7065453958 |
| Fax Number | 7065455762 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the John Fitzgerald Detro's unique identification number?
The John Fitzgerald Detro has been assigned the NPI (National Provider Identifier) Number 1548343841 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where John Fitzgerald Detro is physically located?
The John Fitzgerald Detro is physically situated at the following address: 7950 Martin Loop, Fort Benning, GA, 319055647.
What is the John Fitzgerald Detro's specialty and taxonomy code?
The John Fitzgerald Detro's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the John Fitzgerald Detro receive its 1548343841?
The John Fitzgerald Detro was issued its 1548343841 on 2006-10-23, which is the date when the organization was assigned this unique identifier.
As of what date were the John Fitzgerald Detro's details last updated?
The information pertaining to the John Fitzgerald Detro, including its address, specialty, and other details, was most recently updated on 2007-07-08.