Elmer G Dodge is a General Practice in Boise, Idaho. Elmer G Dodge practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elmer G Dodge is 1508918236. The last update date is 2020-09-01.
Elmer G Dodge's current location address is Po Box 44267, Boise, Idaho. You can contact this provider via phone number 2082860666 and fax number 2082860565. The mailing address for Elmer G Dodge is Po Box 44267, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elmer G Dodge |
|---|---|
| Address | Po Box 44267, Boise, Idaho |
| Phone Number | 2082860666 |
| Fax Number | 2082860565 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1508918236 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-09-01 |
Provider Mailing Address Detail
| Address | Po Box 44267 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837110267 |
| Phone Number | 2082860666 |
| Fax Number | 2082860565 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 163Wg0000X |
| Licence No | NP534A |
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Definition: A registered nurse who provides general nursing care across health settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NPQP7 | ID | BLUE CROSS OF IDAHO | |
| 10150031 | ID | REGENCE BLUE SHIELD OF ID | |
| 806045400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elmer G Dodge by the Centers for Medicare & Medicaid Services?
The Elmer G Dodge has been issued the NPI (National Provider Identifier) 1508918236 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Elmer G Dodge?
The Elmer G Dodge is situated at Po Box 44267, in the city of Boise, state of ID, with the zip code 837110267.
What is Elmer G Dodge'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 Elmer G Dodge is General Practice, and the taxonomy classification code that categorizes this area of expertise is 163Wg0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508918236 to Elmer G Dodge?
The Centers for Medicare & Medicaid Services assigned the 1508918236 to Elmer G Dodge on 2007-01-16.
When was the information regarding Elmer G Dodge most recently updated?
The details pertaining to the Elmer G Dodge, including its address, specialty, and other relevant information, were last refreshed on 2020-09-01.
NPI Number: 1194728618
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