Mark Dy-Liacco is a Surgery in Boise, Idaho. Mark Dy-Liacco practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark Dy-Liacco is 1366488850. The last update date is 2023-07-07.
Mark Dy-Liacco's current location address is 100 E Idaho St Ste 301, Boise, Idaho. You can contact this provider via phone number 2083819250. The mailing address for Mark Dy-Liacco is 100 E Idaho St Ste 301, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Dy-Liacco |
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Address | 100 E Idaho St Ste 301, Boise, Idaho |
Phone Number | 2083819250 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1366488850 |
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Provider Enumeration Date | 2006-06-21 |
Last Updated Date | 2023-07-07 |
Provider Mailing Address Detail
Address | 100 E Idaho St Ste 301 |
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City | Boise |
State | Idaho (ID) |
Post Code | 837126269 |
Phone Number | 2083819250 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 036-100492 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1366488850 | NC | -- | |
NCW874A | NC | MEDICARE | |
19PD0 | NC | BCBS OF NC |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Dy-Liacco by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Dy-Liacco has been assigned the NPI (National Provider Identifier) 1366488850. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark Dy-Liacco is physically located?
The Mark Dy-Liacco is situated at the following address: 100 E Idaho St Ste 301, Boise, ID 837126269.
What is Mark Dy-Liacco's area of expertise and its corresponding taxonomy classification?
The Mark Dy-Liacco's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1366488850 assigned to Mark Dy-Liacco?
The Mark Dy-Liacco was issued its 1366488850 on 2006-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark Dy-Liacco most recently updated or refreshed?
The details pertaining to the Mark Dy-Liacco, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-07-07.
NPI Number: 1316940851
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