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671 E. Riverpark Lane, Ste 110, Boise, ID 83706 | |
| (208) 387-0900 | |
| (208) 345-5883 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 671 E. Riverpark Lane, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629043252 | NPI | - | NPPES |
| 002725800 | Medicaid | ID | |
| P1423 | Other | ID | BLUE CROSS OF ID |
| 000010015660 | Other | ID | REGENCE BS OF ID |
| DA8994 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P142 (Idaho) | Primary |
| Provider Name | Randy E Lowe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801071550 PECOS PAC ID: 1759445273 Enrollment ID: I20120316000230 |
| Mailing Address | Practice Location Address |
|---|---|
671 E. Riverpark Lane, Ste 110, Boise, ID 83706 Ph: (208) 387-0900 | 671 E. Riverpark Lane, Ste 110, Boise, ID 83706 Ph: (208) 387-0900 |
Dr. William Scott Stano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 W Jefferson St, Boise, ID 83702 Phone: 208-343-8907 Fax: 208-343-9161 | |
Dr. Gary J Millward, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6051 N Eagle Rd, Boise, ID 83713 Phone: 208-938-4670 | |
Ankle & Foot Medical Center Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 222 N 2nd St, Suite 301, Boise, ID 83702 Phone: 208-344-3324 Fax: 208-344-4349 | |
Clinton Clark Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6051 N Eagle Rd, Boise, ID 83713 Phone: 208-938-4670 Fax: 208-938-4675 | |
Dr. Stanley B Leis, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 809 N Liberty St, Boise, ID 83704 Phone: 208-327-0627 Fax: 208-376-5258 | |
Dr. Robert A Swensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1075 N Curtis Road, Ste 300, Boise, ID 83706 Phone: 208-367-3330 Fax: 208-367-3331 | |
Mr. James Joseph Owen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Suite 306, Boise, ID 83704 Phone: 208-367-7887 Fax: 208-367-7888 |