Mark Nassir, MD | |
6051 W Emerald St, Boise, ID 83704 | |
(208) 302-7600 | |
(208) 302-7605 |
Full Name | Mark Nassir |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 6051 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 |
---|---|---|---|
1649377169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A70239 (California) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | M14816 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Mark Nassir, MD 3340 E Goldstone Dr., Meridian, ID 83642 Ph: (208) 302-7600 | Mark Nassir, MD 6051 W Emerald St, Boise, ID 83704 Ph: (208) 302-7600 |
Rachael Ann Crawford, ATC Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6875 W Preece Ln, Boise, ID 83704 Phone: 208-297-9504 | |
Thomas Barrett Eschen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Provident, Boise, ID 83706 Phone: 208-343-6703 Fax: 208-343-6703 | |
Jacob Kammer, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 6533 W Emerald St, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 | |
Glenn C Bothwell, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Boise, ID 83702 Phone: 208-706-7500 | |
Dr. Stephen David Leonard, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3815 W Rickenbacker St, Suite 213, Boise, ID 83705 Phone: 208-901-4493 Fax: 208-917-8605 | |
Dr. Margaret Kay Cook-shimanek, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 Emerald Street, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 | |
Michael P Gibson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 W Emerald St, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 |