Martin R Tubach, MD | |
6052 W State St, Boise, ID 83703-2739 | |
(208) 947-1947 | |
(208) 947-1945 |
Full Name | Martin R Tubach |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 6052 W State 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 |
---|---|---|---|
1982656591 | NPI | - | NPPES |
805751800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | M8065 (Idaho) | Primary |
Entity Name | Alliance Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Mailing Address | Practice Location Address |
---|---|
Martin R Tubach, MD 6052 W State St, Boise, ID 83703-2739 Ph: (208) 947-1947 | Martin R Tubach, MD 6052 W State St, Boise, ID 83703-2739 Ph: (208) 947-1947 |
Mrs. Tiffany Kearny, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-7423 | |
Dr. Eric T Garner, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Dr. Jacob G Robison, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-9590 | |
Dr. Todd Rustad, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 900 N Liberty St, Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 | |
Tyson Nielsen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-267-3979 | |
Bret J Rodgers, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6077 N Eagle Rd, Boise, ID 83713 Phone: 208-939-9000 | |
Dr. Brian Allen Walker, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 900 N Liberty St Ste 400, Boise, ID 83704 Phone: 208-336-4368 |