Mark E Kieckbusch in Boise - Anatomic Pathology & Clinical Pathology

Mark E Kieckbusch - NPI 1215981410

Mark E Kieckbusch is a Anatomic Pathology & Clinical Pathology in Boise, Idaho. Mark E Kieckbusch practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Mark E Kieckbusch is 1215981410. The last update date is 2007-12-11.

Mark E Kieckbusch's current location address is Po Box 9589, Boise, Idaho. You can contact this provider via phone number 2084728104 and fax number 2083441926. The mailing address for Mark E Kieckbusch is Po Box 9589, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark E Kieckbusch
Address Po Box 9589, Boise, Idaho
Phone Number 2084728104
Fax Number 2083441926
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1215981410
Provider Enumeration Date 2006-05-20
Last Updated Date 2007-12-11

Provider Mailing Address Detail

Address Po Box 9589
City Boise
State Idaho (ID)
Post Code 837074589
Phone Number 2084728104
Fax Number 2083441926

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No M6070
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

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FAQs about Mark E Kieckbusch

What is the Mark E Kieckbusch's 1215981410?

The Mark E Kieckbusch's NPI (National Provider Identifier) Number is 1215981410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark E Kieckbusch is located?

The Mark E Kieckbusch is situated at the following address: Po Box 9589, Boise, ID, 837074589.

What is the Mark E Kieckbusch's specialty and taxonomy code?

The Mark E Kieckbusch's specialty is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code is 207Zp0102X.

On what date was the 1215981410 assigned to Mark E Kieckbusch?

The Mark E Kieckbusch was issued its 1215981410 on 2006-05-20, 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 details related to Mark E Kieckbusch most recently updated or revised?

The information pertaining to Mark E Kieckbusch, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-11.

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