Mr Leland Charles Tebout, | |
500 W Fort St, Boise, ID 83702-4501 | |
(208) 422-1000 | |
Not Available |
Full Name | Mr Leland Charles Tebout |
---|---|
Gender | Male |
Speciality | Registered Nurse - Ambulatory Care |
Location | 500 W Fort St, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356058259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP2201X | Registered Nurse - Ambulatory Care | RN122374 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Leland Charles Tebout, 1622 Paul Maddox Rd, Jackson, GA 30233-4957 Ph: (208) 422-1000 | Mr Leland Charles Tebout, 500 W Fort St, Boise, ID 83702-4501 Ph: (208) 422-1000 |
Robert Fisher, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1092 | |
Christopher M Gutierrez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Trina S Hunter, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8601 W Emerald St Ste 160, Boise, ID 83704 Phone: 208-991-4488 | |
Rebecca Cotterell, RN-BC, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1591 | |
Philip Resin Elackatt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 986-256-1766 | |
Laura Rossow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Alicia Curmi, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Boise, ID 83702 Phone: 734-812-3214 |