Deer Point Family Practice Pc in Boise - General Practice
Deer Point Family Practice Pc - NPI 1134342264
Deer Point Family Practice Pc is a General Practice in Boise, Idaho. Deer Point Family Practice Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Deer Point Family Practice Pc is 1134342264. The last update date is 2011-12-21.
Deer Point Family Practice Pc's current location address is Po Box 4979, Boise, Idaho. You can contact this provider via phone number 2083227284 and fax number 2083239070. The mailing address for Deer Point Family Practice Pc is Po Box 4979, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Deer Point Family Practice Pc |
---|---|
Address | Po Box 4979, Boise, Idaho |
Phone Number | 2083227284 |
Fax Number | 2083239070 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Tubbs A Gary |
Credentials | M.D. |
Telephone Number | 2083227284 |
NPI Number Detail
NPI Number | 1134342264 |
---|---|
Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2011-12-21 |
Provider Mailing Address Detail
Address | Po Box 4979 |
---|---|
City | Boise |
State | Idaho (ID) |
Post Code | 837114979 |
Phone Number | 2083227284 |
Fax Number | 2083239070 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 208D00000X |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2643400 | ID | -- | |
10028455 | ID | REGENCE BLUE SHIELD OF ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Deer Point Family Practice Pc by the Centers for Medicare & Medicaid Services?
The Deer Point Family Practice Pc has been assigned the NPI (National Provider Identifier) 1134342264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Deer Point Family Practice Pc's facilities are situated?
The facilities of Deer Point Family Practice Pc are physically located at the following address: Po Box 4979, Boise, ID, 837114979.
What is Deer Point Family Practice Pc's area of expertise and its corresponding taxonomy classification?
The Deer Point Family Practice Pc's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Deer Point Family Practice Pc receive its 1134342264 assignment from the Centers for Medicare & Medicaid Services?
The Deer Point Family Practice Pc was assigned its 1134342264 by the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the Deer Point Family Practice Pc's details last updated?
The information pertaining to the Deer Point Family Practice Pc, including its address, specialty, and other details, was most recently updated on 2011-12-21.
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