Dr James H Stewart, PHD, MD | |
7733 W Emerald St, Boise, ID 83704 | |
(208) 376-3220 | |
(208) 322-7370 |
Full Name | Dr James H Stewart |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 7733 W Emerald St, 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 |
---|---|---|---|
1104870567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | M6826 (Idaho) | Secondary |
207N00000X | Dermatology | M6826 (Idaho) | Primary |
Entity Name | Mountain West Derm - Blackhart Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548758501 PECOS PAC ID: 1153609813 Enrollment ID: O20180808001264 |
Mailing Address | Practice Location Address |
---|---|
Dr James H Stewart, PHD, MD 7733 W Emerald St, Boise, ID 83704-9020 Ph: (208) 376-3220 | Dr James H Stewart, PHD, MD 7733 W Emerald St, Boise, ID 83704 Ph: (208) 376-3220 |
Lindie K Borton, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3811 N Garden Center Way, Boise, ID 83703 Phone: 208-287-5525 Fax: 208-287-5530 | |
Marnie R Ririe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1636 Hadley Ave., Boise, ID 83709 Phone: 208-258-2078 Fax: 208-258-2079 | |
Dr. Joseph Patrick Fetzek, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6111 W Overland Rd, Boise, ID 83709 Phone: 208-377-0450 | |
Mrs. Jhon R Hall, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13176 W Persimmon Lane, Boise, ID 83713 Phone: 208-939-8640 Fax: 208-939-1892 | |
Dr. Richard Dale Blickenstaff, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 6454 W Emerald Street, Boise, ID 83704 Phone: 208-377-0820 | |
Dr. Leon William Nowierski, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 100 Warm Springs Ave, Suite A, Boise, ID 83712 Phone: 208-343-5910 Fax: 208-384-8562 |