Cynthia Fountain, | |
100 E Idaho St Ste 302, Boise, ID 83712 | |
(208) 343-7501 | |
Not Available |
Full Name | Cynthia Fountain |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 100 E Idaho St Ste 302, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538402144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | M-15042 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Cynthia Fountain, 100 E Idaho St Ste 302, Boise, ID 83712-6269 Ph: () - | Cynthia Fountain, 100 E Idaho St Ste 302, Boise, ID 83712 Ph: (208) 343-7501 |
Cristin C Slater, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 111 Main St, #100, Boise, ID 83702 Phone: 208-342-5900 Fax: 208-342-2088 | |
Maryalice Lopez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 240, Boise, ID 83702 Phone: 208-338-8900 | |
Martha H Lund, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 100, Boise, ID 83704 Phone: 208-367-4224 Fax: 208-367-7806 | |
Bradley Holbrook, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 Fax: 208-381-4314 | |
Dr. B Kerry Lowder, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 400, Boise, ID 83712 Phone: 208-345-5250 Fax: 208-345-2364 | |
Dr. Michael F Koszalka Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 N 1st St Ste 150, Boise, ID 83702 Phone: 208-381-3088 | |
Dr. Juliana L Digiosia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 100, Boise, ID 83704 Phone: 208-302-1200 Fax: 208-302-1255 |