Pediatric Neurosurgry Of Idaho Pc in Boise - Neurological Surgery
Pediatric Neurosurgry Of Idaho Pc - NPI 1750337978
Pediatric Neurosurgry Of Idaho Pc is a Neurological Surgery in Boise, Idaho. Pediatric Neurosurgry Of Idaho Pc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Pediatric Neurosurgry Of Idaho Pc is 1750337978. The last update date is 2008-05-26.
Pediatric Neurosurgry Of Idaho Pc's current location address is 100 E Idaho St, Boise, Idaho. You can contact this provider via phone number 2083817360 and fax number 2083817361. The mailing address for Pediatric Neurosurgry Of Idaho Pc is 100 E Idaho St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Neurosurgry Of Idaho Pc |
|---|---|
| Address | 100 E Idaho St, Boise, Idaho |
| Phone Number | 2083817360 |
| Fax Number | 2083817361 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cherny Bruce Walter |
| Credentials | MD |
| Telephone Number | 2083817360 |
NPI Number Detail
| NPI Number | 1750337978 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2008-05-26 |
Provider Mailing Address Detail
| Address | 100 E Idaho St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126270 |
| Phone Number | 2083817360 |
| Fax Number | 2083817361 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | M8385 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8M819 | BLUE CROSS OF IDAHO GROUP |
Post Comment/ Review Below
What is the Pediatric Neurosurgry Of Idaho Pc's 1750337978?
The Pediatric Neurosurgry Of Idaho Pc's NPI (National Provider Identifier) Number is 1750337978. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pediatric Neurosurgry Of Idaho Pc?
The Pediatric Neurosurgry Of Idaho Pc is situated at 100 E Idaho St, in the city of Boise, state of ID, with the zip code 837126270.
What is Pediatric Neurosurgry Of Idaho Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Neurosurgry Of Idaho Pc is Neurological Surgery, and the taxonomy code that classifies this field of practice is 207T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750337978 to Pediatric Neurosurgry Of Idaho Pc?
The Centers for Medicare & Medicaid Services assigned the 1750337978 to Pediatric Neurosurgry Of Idaho Pc on 2006-05-26.
When was the information regarding Pediatric Neurosurgry Of Idaho Pc most recently updated?
The details pertaining to the Pediatric Neurosurgry Of Idaho Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-26.