Peter Vernon Goetchius in Fort Drum - Medical
Peter Vernon Goetchius - NPI 1285610451
Peter Vernon Goetchius is a Medical in Fort Drum, New York. Peter Vernon Goetchius practices all healthcare services and medical treatments related to Medical. The NPI Number for Peter Vernon Goetchius is 1285610451. The last update date is 2008-05-20.
Peter Vernon Goetchius's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for Peter Vernon Goetchius is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Vernon Goetchius |
|---|---|
| Address | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1285610451 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 11050 Mount Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025438 |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 000219-0 |
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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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What is the unique 10-digit identification code issued to Peter Vernon Goetchius by the Centers for Medicare & Medicaid Services?
The Peter Vernon Goetchius has been assigned the NPI (National Provider Identifier) 1285610451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Peter Vernon Goetchius?
The Peter Vernon Goetchius is physically situated at 11050 Mount Belvedere Blvd, in the city of Fort Drum, state of NY, with the postal code 136025438.
What is the Peter Vernon Goetchius's area of specialization and corresponding taxonomy classification?
The Peter Vernon Goetchius's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Peter Vernon Goetchius receive the assignment of its 1285610451 from the Centers for Medicare & Medicaid Services?
The Peter Vernon Goetchius was issued its 1285610451 by the Centers for Medicare & Medicaid Services on 2005-12-20.
As of what date were the details related to Peter Vernon Goetchius most recently updated or revised?
The information pertaining to Peter Vernon Goetchius, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-20.