D Pavelka Reproductive Associates, Pa in Fridley - Ambulatory Fertility Facility
D Pavelka Reproductive Associates, Pa - NPI 1063629798
D Pavelka Reproductive Associates, Pa is a Ambulatory Fertility Facility in Fridley, Minnesota. D Pavelka Reproductive Associates, Pa practices all healthcare services and medical treatments related to Ambulatory Fertility Facility. The NPI Number for D Pavelka Reproductive Associates, Pa is 1063629798. The last update date is 2020-08-22.
D Pavelka Reproductive Associates, Pa's current location address is 500 Osborne Rd Ne Ste 260, Fridley, Minnesota. You can contact this provider via phone number 7637838155 and fax number 7637831373. The mailing address for D Pavelka Reproductive Associates, Pa is 500 Osborne Rd Ne Ste 260, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | D Pavelka Reproductive Associates, Pa |
|---|---|
| Address | 500 Osborne Rd Ne Ste 260, Fridley, Minnesota |
| Phone Number | 7637838155 |
| Fax Number | 7637831373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE COO |
|---|---|
| Authorized Official Name | Scott S Connie |
| Telephone Number | 7637838155 |
NPI Number Detail
| NPI Number | 1063629798 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 Osborne Rd Ne Ste 260 |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322768 |
| Phone Number | 7637838155 |
| Fax Number | 7637831373 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Fertility Facility |
|---|---|
| Taxonomy | 261Qa0006X |
| Licence No | 27008 |
|
Definition: A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. Th |
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What is the D Pavelka Reproductive Associates, Pa's 1063629798?
The D Pavelka Reproductive Associates, Pa's NPI (National Provider Identifier) Number is 1063629798. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where D Pavelka Reproductive Associates, Pa is physically located?
The D Pavelka Reproductive Associates, Pa is situated at the following address: 500 Osborne Rd Ne Ste 260, Fridley, MN 554322768.
What is the D Pavelka Reproductive Associates, Pa's area of specialization and corresponding taxonomy classification?
The D Pavelka Reproductive Associates, Pa's specialty field is Ambulatory Fertility Facility, and it falls under the taxonomy code 261Qa0006X, which categorizes healthcare providers based on their specialties.
When did D Pavelka Reproductive Associates, Pa receive its 1063629798 assignment?
The D Pavelka Reproductive Associates, Pa was assigned its 1063629798 on 2007-05-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding D Pavelka Reproductive Associates, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to D Pavelka Reproductive Associates, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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