Reuben Guy Hudson, MD FAAP | |
305 E Jefferson St, Boise, ID 83712-6231 | |
(208) 381-6196 | |
(208) 381-6199 |
Full Name | Reuben Guy Hudson |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 305 E Jefferson 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 |
---|---|---|---|
1710995295 | NPI | - | NPPES |
213391 | Medicaid | OR | |
8425738 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 7161277 (Idaho) | Primary |
208800000X | Urology | MD25800 (Oregon) | Secondary |
208800000X | Urology | MD00048852 (Washington) | Secondary |
Entity Name | Swedish Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
Mailing Address | Practice Location Address |
---|---|
Reuben Guy Hudson, MD FAAP 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Reuben Guy Hudson, MD FAAP 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-6196 |
Sean Patrick Stroup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702 Phone: 208-381-4700 | |
Dr. Kara C Taggart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702 Phone: 208-381-4700 Fax: 208-381-4977 | |
Michele B Ebbers, MD Urology Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6196 Fax: 208-381-6199 | |
Dr. Donald E Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-344-5757 Fax: 208-381-6526 | |
Robert E. Jackson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 3112, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Edwin Manley Briggs, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1316 Harrison Blvd, Boise, ID 83702 Phone: 208-345-5523 Fax: 208-389-4606 | |
Dr. Stephen A. Brassell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2222 |