| Ann Cordum Pllc | |
|
203 W Fort St Boise ID 83702-4528 | |
| (208) 994-8656 | |
| Not Available |
| Full Name | Ann Cordum Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 W Fort St, Boise, Idaho |
| Authorized Official Name and Position | Ann Alexandra Cordum (OWNER) |
| Authorized Official Contact | 2089948656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Cordum Pllc 203 W Fort St Boise ID 83702-4528 Ph: (208) 994-8656 | Ann Cordum Pllc 203 W Fort St Boise ID 83702-4528 Ph: (208) 994-8656 |
| NPI Number | 1013383645 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013383645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-7030 (Idaho) | Primary |
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