Russell M Kocemba in Boise - Family Medicine
Russell M Kocemba - NPI 1588629406
Russell M Kocemba is a Family Medicine in Boise, Idaho. Russell M Kocemba practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell M Kocemba is 1588629406. The last update date is 2014-01-23.
Russell M Kocemba's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083750862 and fax number 2083752658. The mailing address for Russell M Kocemba is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell M Kocemba |
|---|---|
| Address | 190 E Bannock St, Boise, Idaho |
| Phone Number | 2083750862 |
| Fax Number | 2083752658 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588629406 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2014-01-23 |
Provider Mailing Address Detail
| Address | 190 E Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126241 |
| Phone Number | 2083750862 |
| Fax Number | 2083752658 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M7077 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Russell M Kocemba by the Centers for Medicare & Medicaid Services?
The Russell M Kocemba has been issued the NPI (National Provider Identifier) 1588629406, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Russell M Kocemba's facilities are situated?
The facilities of Russell M Kocemba are physically located at the following address: 190 E Bannock St, Boise, ID, 837126241.
What is Russell M Kocemba'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 Russell M Kocemba is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date was the 1588629406 assigned to Russell M Kocemba?
The Russell M Kocemba was issued its 1588629406 on 2006-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Russell M Kocemba's details last updated?
The information pertaining to the Russell M Kocemba, including its address, specialty, and other details, was most recently updated on 2014-01-23.
NPI Number: 1063415297
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