Idaho Pediatric Gastroenterology Pa in Boise - Specialist
Idaho Pediatric Gastroenterology Pa - NPI 1780871467
Idaho Pediatric Gastroenterology Pa is a Specialist in Boise, Idaho. Idaho Pediatric Gastroenterology Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Idaho Pediatric Gastroenterology Pa is 1780871467. The last update date is 2007-09-26.
Idaho Pediatric Gastroenterology Pa's current location address is 100 E Idaho St, Boise, Idaho. You can contact this provider via phone number 2083817310. The mailing address for Idaho Pediatric Gastroenterology Pa is 100 E Idaho St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Pediatric Gastroenterology Pa |
|---|---|
| Address | 100 E Idaho St, Boise, Idaho |
| Phone Number | 2083817310 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thompson R Henry |
| Credentials | MD |
| Telephone Number | 2083817310 |
NPI Number Detail
| NPI Number | 1780871467 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 100 E Idaho St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126223 |
| Phone Number | 2083817310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M7673 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Idaho Pediatric Gastroenterology Pa by the Centers for Medicare & Medicaid Services?
The Idaho Pediatric Gastroenterology Pa has been issued the NPI (National Provider Identifier) 1780871467 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Idaho Pediatric Gastroenterology Pa is physically located?
The Idaho Pediatric Gastroenterology Pa is physically situated at the following address: 100 E Idaho St, Boise, ID, 837126223.
What is Idaho Pediatric Gastroenterology Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Idaho Pediatric Gastroenterology Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Idaho Pediatric Gastroenterology Pa receive the assignment of its 1780871467 from the Centers for Medicare & Medicaid Services?
The Idaho Pediatric Gastroenterology Pa was issued its 1780871467 by the Centers for Medicare & Medicaid Services on 2007-09-26.
As of what date were the details related to Idaho Pediatric Gastroenterology Pa most recently updated or revised?
The information pertaining to Idaho Pediatric Gastroenterology Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-26.
NPI Number: 1982607784
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