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

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FAQs about Deer Point Family Practice Pc

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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