| Caldwell Internal Medicine Professional Association | |
|
211 E Logan St Suite 201 Caldwell ID 83605-4835 | |
| (208) 459-4667 | |
| (208) 459-3372 |
| Full Name | Caldwell Internal Medicine Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 E Logan St, Caldwell, Idaho |
| Authorized Official Name and Position | Steven J Koga (PRESIDENT) |
| Authorized Official Contact | 2084594667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Internal Medicine Professional Association 211 E Logan St Suite 303 Caldwell ID 83605-4835 Ph: (208) 459-4667 | Caldwell Internal Medicine Professional Association 211 E Logan St Suite 201 Caldwell ID 83605-4835 Ph: (208) 459-4667 |
| NPI Number | 1649225616 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649225616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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