Jude Boutkaska is a Medical in Boise, Idaho. Jude Boutkaska practices all healthcare services and medical treatments related to Medical. The NPI Number for Jude Boutkaska is 1801948591. The last update date is 2021-04-16.
Jude Boutkaska's current location address is 413 Allumbaugh St, Boise, Idaho. You can contact this provider via phone number 2083626162 and fax number 2083629604. The mailing address for Jude Boutkaska is 413 Allumbaugh St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jude Boutkaska |
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Address | 413 Allumbaugh St, Boise, Idaho |
Phone Number | 2083626162 |
Fax Number | 2083629604 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1801948591 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
Address | 413 Allumbaugh St |
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City | Boise |
State | Idaho (ID) |
Post Code | 837049212 |
Phone Number | 2083626162 |
Fax Number | 2083629604 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA343 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Jude Boutkaska by the Centers for Medicare & Medicaid Services?
The Jude Boutkaska has been assigned the NPI (National Provider Identifier) 1801948591 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jude Boutkaska is physically located?
The Jude Boutkaska is situated at the following address: 413 Allumbaugh St, Boise, ID 837049212.
What is the Jude Boutkaska's specialty and taxonomy code?
The Jude Boutkaska's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did Jude Boutkaska receive its 1801948591 assignment?
The Jude Boutkaska was assigned its 1801948591 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jude Boutkaska, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jude Boutkaska, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-16.
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