Jennice M Cordova is a Medical in Middleton, Idaho. Jennice M Cordova practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennice M Cordova is 1609856079. The last update date is 2008-02-12.
Jennice M Cordova's current location address is 201 S 1st Ave E, Middleton, Idaho. You can contact this provider via phone number 2085856311 and fax number 2085856221. The mailing address for Jennice M Cordova is 201 S 1st Ave E, Middleton, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennice M Cordova |
|---|---|
| Address | 201 S 1st Ave E, Middleton, Idaho |
| Phone Number | 2085856311 |
| Fax Number | 2085856221 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609856079 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 201 S 1st Ave E |
|---|---|
| City | Middleton |
| State | Idaho (ID) |
| Post Code | 836445809 |
| Phone Number | 2085856311 |
| Fax Number | 2085856221 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-281 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennice M Cordova by the Centers for Medicare & Medicaid Services?
The Jennice M Cordova has been assigned the NPI (National Provider Identifier) 1609856079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jennice M Cordova's facilities are situated?
The facilities of Jennice M Cordova are physically located at the following address: 201 S 1St Ave E, Middleton, ID, 836445809.
What is Jennice M Cordova'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 Jennice M Cordova is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date was the 1609856079 assigned to Jennice M Cordova?
The Jennice M Cordova was issued its 1609856079 on 2006-01-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jennice M Cordova most recently updated or revised?
The details related to Jennice M Cordova, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA