Derek Eddie is a Medical in Pocatello, Idaho. Derek Eddie practices all healthcare services and medical treatments related to Medical. The NPI Number for Derek Eddie is 1346375367. The last update date is 2007-07-08.
Derek Eddie's current location address is 560 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2082341960 and fax number 2082335033. The mailing address for Derek Eddie is 560 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Eddie |
|---|---|
| Address | 560 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2082341960 |
| Fax Number | 2082335033 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1346375367 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 560 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014073 |
| Phone Number | 2082341960 |
| Fax Number | 2082335033 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-662 |
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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 Derek Eddie by the Centers for Medicare & Medicaid Services?
The Derek Eddie has been assigned the NPI (National Provider Identifier) 1346375367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Derek Eddie is physically located?
The Derek Eddie is situated at the following address: 560 Memorial Dr, Pocatello, ID 832014073.
What is Derek Eddie's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek Eddie's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346375367 to Derek Eddie?
The Derek Eddie received its 1346375367 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details related to Derek Eddie most recently updated or revised?
The information pertaining to Derek Eddie, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.