Gary D Edson in Boise - Addiction (substance Use Disorder)
Gary D Edson - NPI 1275688012
Gary D Edson is a Addiction (substance Use Disorder) in Boise, Idaho. Gary D Edson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary D Edson is 1275688012. The last update date is 2007-07-08.
Gary D Edson's current location address is Po Box 190930, Boise, Idaho. You can contact this provider via phone number 2083673069 and fax number 2083673002. The mailing address for Gary D Edson is Po Box 190930, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary D Edson |
|---|---|
| Address | Po Box 190930, Boise, Idaho |
| Phone Number | 2083673069 |
| Fax Number | 2083673002 |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1275688012 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 190930 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837190930 |
| Phone Number | 2083673069 |
| Fax Number | 2083673002 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 53 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary D Edson by the Centers for Medicare & Medicaid Services?
The Gary D Edson has been assigned the NPI (National Provider Identifier) 1275688012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gary D Edson is located?
The Gary D Edson is situated at the following address: Po Box 190930, Boise, ID, 837190930.
What is Gary D Edson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary D Edson is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Gary D Edson receive its 1275688012 assignment from the Centers for Medicare & Medicaid Services?
The Gary D Edson was assigned its 1275688012 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information pertaining to Gary D Edson most recently updated or revised?
The details related to Gary D Edson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.