Iudok Premoe is a Pediatrics in Andrews Afb, Maryland. Iudok Premoe practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Iudok Premoe is 1508915554. The last update date is 2007-07-08.
Iudok Premoe's current location address is 1058 West Perimeter Road, Andrews Afb, Maryland. You can contact this provider via phone number 2408572723 and fax number 2408576263. The mailing address for Iudok Premoe is 1058 West Perimeter Road, Andrews Afb, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iudok Premoe |
|---|---|
| Address | 1058 West Perimeter Road, Andrews Afb, Maryland |
| Phone Number | 2408572723 |
| Fax Number | 2408576263 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1508915554 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1058 West Perimeter Road |
|---|---|
| City | Andrews Afb |
| State | Maryland (MD) |
| Post Code | 20762 |
| Phone Number | 2408572723 |
| Fax Number | 2408576263 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R114085 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the Iudok Premoe's 1508915554?
The Iudok Premoe's NPI (National Provider Identifier) Number is 1508915554. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Iudok Premoe's physical address?
The Iudok Premoe is physically located at 1058 West Perimeter Road, in the city of Andrews Afb, MD, with the postal code 20762.
What is the Iudok Premoe's area of specialization and corresponding taxonomy classification?
The Iudok Premoe's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1508915554 to Iudok Premoe?
The Iudok Premoe received its 1508915554 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information regarding Iudok Premoe most recently updated?
The details pertaining to the Iudok Premoe, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.