| Apb Medical Pc | |
|
222 N 2nd St Ste 304 Boise ID 83702-6131 | |
| (208) 342-7792 | |
| Not Available |
| Full Name | Apb Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 N 2nd St Ste 304, Boise, Idaho |
| Authorized Official Name and Position | Alice Blake (M.D.) |
| Authorized Official Contact | 2083427792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apb Medical Pc 222 N 2nd St Ste 304 Boise ID 83702-6131 Ph: (208) 342-7792 | Apb Medical Pc 222 N 2nd St Ste 304 Boise ID 83702-6131 Ph: (208) 342-7792 |
| NPI Number | 1346428919 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 06/26/2012 |
| Medicare PECOS PAC ID | 4880756907 |
|---|---|
| Medicare Enrollment ID | O20081229000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346428919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5730 (Idaho) | Primary |
| Provider Name | Alice P Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508805078 PECOS PAC ID: 1254493372 Enrollment ID: I20081229000055 |
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