Ms Marjorie Conrad Rich, MS, RD, LD, CDE | |
707 N Armstrong Pl, Boise, ID 83704-0825 | |
(208) 861-1777 | |
Not Available |
Full Name | Ms Marjorie Conrad Rich |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 38 Years |
Location | 707 N Armstrong Pl, Boise, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558664755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | D-038 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
Provider Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Ms Marjorie Conrad Rich, MS, RD, LD, CDE 2519 N Esquire Dr, Boise, ID 83704-6210 Ph: (208) 377-5881 | Ms Marjorie Conrad Rich, MS, RD, LD, CDE 707 N Armstrong Pl, Boise, ID 83704-0825 Ph: (208) 861-1777 |
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