Robert J Teears, MD | |
190 E Bannock St, Boise, ID 83712-6241 | |
(208) 381-2367 | |
Not Available |
Full Name | Robert J Teears |
---|---|
Gender | Male |
Speciality | Pathology - Dermatopathology |
Location | 190 E Bannock 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 |
---|---|---|---|
1679511869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | M4197 (Idaho) | Primary |
207ZD0900X | Pathology - Dermatopathology | M4197 (Idaho) | Primary |
Entity Name | Boise Pathology Group P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063466225 PECOS PAC ID: 7113943291 Enrollment ID: O20051018000831 |
Mailing Address | Practice Location Address |
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Robert J Teears, MD Po Box 9589, Boise, ID 83707-4589 Ph: (208) 472-8104 | Robert J Teears, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2367 |
Dr. Bryce J. Parkinson, DO, MBA Pathology Medicare: Not Enrolled in Medicare Practice Location: 999 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2153 | |
Jack C Chaffin Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152 | |
Elizabeth M Williams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-3078 | |
Mark E Kieckbusch, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 Fax: 208-381-4762 | |
Nancy C Kois, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152 | |
Daniel J Walsh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367 | |
Dr. Karen Ann Johnson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2378 |