Dr. Carl V Dezenberg
MD | Pediatric Gastroenterology | Male
Dr. Carl V Dezenberg, MD is a Spokane, Washington based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Carl V Dezenberg is
105 W 8th Ave, Suite 150e, Spokane, Washington - 99204-2302. He can be contacted on phone at
509-474-5437.
Dr. Carl V Dezenberg is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Carl V Dezenberg is
1871577072 which was assigned by NPPES on 01 Dec, 2005 and it was last updated on 24 May, 2021.
Dr. Carl V Dezenberg license number is
MD60217759 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Washington.
Dr. Carl V Dezenberg specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Carl V Dezenberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Carl V Dezenberg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Carl V Dezenberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 105 W 8th Ave, Suite 150e
Spokane, WA, 99204-2302
United States |
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| Phone Number : | 509-474-5437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871577072 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Dec, 2005 |
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| Last Updated On : | 24 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carl V Dezenberg are as mentioned. Primary taxonomy code for Dr. Carl V Dezenberg, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD60217759 | WA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | G74702 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carl V Dezenberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 002002595 | MEDICAID | NV | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cdezenberg220512@wm.providencedirect.org
| No affiliation | DIRECT
Direct
|
| 105 W 8TH AVE, SUITE 150E
SPOKANE, WA, 99204-2302
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 421
Liberty Lake, WA, 99019-0421
United States |
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| Phone Number : | 509-474-5437 |
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Business Location:
Patients can refer following map for directions to
Dr. Carl V Dezenberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.