Nicholas Carroll Destefano MD

  • NPI 1154776755
According to our database, the NPI number for Nicholas Carroll Destefano MD is 1154776755 and activated since 8 years ago. Nicholas Carroll Destefano MD is an individual provider who specializes in General Practice, and the primary practice location is 390 N Loop Rd, Fort Irwin, CA 92310. You can also contact Nicholas Carroll Destefano MD via telephone number is (760) 383-5284. Provider NPI information was last updated on 07/15/2021.

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Overview of Nicholas Carroll Destefano MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/02/2016
  • Last updated: 07/15/2021

Primary Scrop of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: 30177
  • License State: NE

Provider Mailing Address

  • Address: 390 N Loop Rd
    Fort Irwin, CA 92310
  • Phone: 760-383-5200
  • Fax:

Provider Practice Location

  • Address: 390 N Loop Rd
    Fort Irwin, CA 92310
  • Phone: 760-383-5284
  • Fax:

Scope of Practice

  • Taxonomy Code: 208D00000X
  • Specialty: General Practice
  • License Number: 30177
  • License State: NE
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicholas Carroll Destefano MD?
  • A: The npi number for Nicholas Carroll Destefano MD is 1154776755.
  • Q: What are Nicholas Carroll Destefano MD's specialties?
  • A: Nicholas Carroll Destefano MD's specialties are General Practice and different specialities.
  • Q: What is the medical license for Nicholas Carroll Destefano MD?
  • A: The medical license number for Nicholas Carroll Destefano MD is 30177 and issued in NE in USA.
  • Q: Where is Nicholas Carroll Destefano MD practice location?
  • A: Nicholas Carroll Destefano MD is practicing at 390 N Loop Rd, Fort Irwin, CA 92310.
  • Q: How to contact Nicholas Carroll Destefano MD?
  • A: You can contact Nicholas Carroll Destefano MD via 760-383-5284.
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