Dallin Brim Gambles in Rexburg - Medical
Dallin Brim Gambles - NPI 1760533400
Dallin Brim Gambles is a Medical in Rexburg, Idaho. Dallin Brim Gambles practices all healthcare services and medical treatments related to Medical. The NPI Number for Dallin Brim Gambles is 1760533400. The last update date is 2007-07-09.
Dallin Brim Gambles's current location address is 380 Walker Drive, Rexburg, Idaho. You can contact this provider via phone number 2083569559 and fax number 2083566601. The mailing address for Dallin Brim Gambles is 380 Walker Drive, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dallin Brim Gambles |
|---|---|
| Address | 380 Walker Drive, Rexburg, Idaho |
| Phone Number | 2083569559 |
| Fax Number | 2083566601 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1760533400 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 380 Walker Drive |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 83440 |
| Phone Number | 2083569559 |
| Fax Number | 2083566601 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-236 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00134875 | ID | RAILROAD MEDICARE | |
| PALDO | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Dallin Brim Gambles's unique identification number?
The Dallin Brim Gambles has been assigned the NPI (National Provider Identifier) Number 1760533400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dallin Brim Gambles is located?
The Dallin Brim Gambles is situated at the following address: 380 Walker Drive, Rexburg, ID, 83440.
What is Dallin Brim Gambles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dallin Brim Gambles's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did Dallin Brim Gambles receive its 1760533400 assignment from the Centers for Medicare & Medicaid Services?
The Dallin Brim Gambles was assigned its 1760533400 on 2007-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dallin Brim Gambles, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dallin Brim Gambles, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.