Nic R Cordum is a Gastroenterology in Boise, Idaho. Nic R Cordum practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Nic R Cordum is 1205803756. The last update date is 2007-09-07.
Nic R Cordum's current location address is 6259 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2084891900 and fax number 2083755286. The mailing address for Nic R Cordum is 6259 W Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nic R Cordum |
|---|---|
| Address | 6259 W Emerald St, Boise, Idaho |
| Phone Number | 2084891900 |
| Fax Number | 2083755286 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205803756 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 6259 W Emerald St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048731 |
| Phone Number | 2084891900 |
| Fax Number | 2083755286 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | M6979 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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What is the unique 10-digit identifier code issued to Nic R Cordum by the Centers for Medicare & Medicaid Services?
The Nic R Cordum has been assigned the NPI (National Provider Identifier) 1205803756 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nic R Cordum?
The Nic R Cordum is physically situated at 6259 W Emerald St, in the city of Boise, state of ID, with the postal code 837048731.
What is Nic R Cordum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nic R Cordum is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
When did Nic R Cordum receive its 1205803756 assignment?
The Nic R Cordum was assigned its 1205803756 on 2006-03-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Nic R Cordum most recently updated?
The details pertaining to the Nic R Cordum, including its address, specialty, and other relevant information, were last refreshed on 2007-09-07.