Paul Jones, | |
1906 Fairview Ave Ste 350, Caldwell, ID 83605-5425 | |
(208) 454-9181 | |
Not Available |
Full Name | Paul Jones |
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Gender | Male |
Speciality | Urology |
Location | 1906 Fairview Ave Ste 350, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013331172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | M-16790 (Idaho) | Primary |
208800000X | Urology | PG205281 (Oregon) | Secondary |
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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Paul Jones, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Paul Jones, 1906 Fairview Ave Ste 350, Caldwell, ID 83605-5425 Ph: (208) 454-9181 |
Dr. Michael S Morris, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-9181 Fax: 208-454-6338 | |
Donald K Stritzke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-9181 Fax: 208-454-6338 | |
Dr. Hasan Dani, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1906 Fairview Ave Ste 430, Caldwell, ID 83605 Phone: 208-302-0270 Fax: 208-302-0279 |