Justin Ryder Grametbaur in Midland - Physician Assistant
Justin Ryder Grametbaur - NPI 1346369527
Justin Ryder Grametbaur is a Physician Assistant in Midland, Texas. Justin Ryder Grametbaur practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Justin Ryder Grametbaur is 1346369527. The last update date is 2007-07-08.
Justin Ryder Grametbaur's current location address is 2104 W Michigan Ave, Midland, Texas. You can contact this provider via phone number 4325709552 and fax number 4325709859. The mailing address for Justin Ryder Grametbaur is 2104 W Michigan Ave, Midland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Ryder Grametbaur |
|---|---|
| Address | 2104 W Michigan Ave, Midland, Texas |
| Phone Number | 4325709552 |
| Fax Number | 4325709859 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1346369527 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2104 W Michigan Ave |
|---|---|
| City | Midland |
| State | Texas (TX) |
| Post Code | 797015928 |
| Phone Number | 4325709552 |
| Fax Number | 4325709859 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04263 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Justin Ryder Grametbaur?
The Justin Ryder Grametbaur has been issued the NPI (National Provider Identifier) 1346369527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Justin Ryder Grametbaur is physically located?
The Justin Ryder Grametbaur is situated at the following address: 2104 W Michigan Ave, Midland, TX 797015928.
What is Justin Ryder Grametbaur's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Justin Ryder Grametbaur is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346369527 to Justin Ryder Grametbaur?
The Justin Ryder Grametbaur received its 1346369527 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the Justin Ryder Grametbaur's details last updated?
The information pertaining to the Justin Ryder Grametbaur, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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