Gary M Dutka is a Medical in Durham, North Carolina. Gary M Dutka practices all healthcare services and medical treatments related to Medical. The NPI Number for Gary M Dutka is 1902871445. The last update date is 2008-08-06.
Gary M Dutka's current location address is Po Box 15385, Durham, North Carolina. You can contact this provider via phone number 9194775152 and fax number 9194775474. The mailing address for Gary M Dutka is Po Box 15385, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Dutka |
|---|---|
| Address | Po Box 15385, Durham, North Carolina |
| Phone Number | 9194775152 |
| Fax Number | 9194775474 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902871445 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | Po Box 15385 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277040385 |
| Phone Number | 9194775152 |
| Fax Number | 9194775474 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4291 |
|
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 |
|---|---|---|---|
| 256737965A | GA | -- | |
| 1157750 | GA | AMERIGROUP | |
| 256737965D | GA | -- | |
| 256737965C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary M Dutka by the Centers for Medicare & Medicaid Services (CMS)?
The Gary M Dutka has been assigned the NPI (National Provider Identifier) 1902871445. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Gary M Dutka's facilities are situated?
The facilities of Gary M Dutka are physically located at the following address: Po Box 15385, Durham, NC, 277040385.
What is Gary M Dutka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary M Dutka's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902871445 to Gary M Dutka?
The Centers for Medicare & Medicaid Services assigned the 1902871445 to Gary M Dutka on 2006-02-20.
When was the information pertaining to Gary M Dutka most recently updated or revised?
The details related to Gary M Dutka, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-06.