| Deer Point Family Practice Pc | |
|
6023 N Eagle Rd Boise ID 83713-0997 | |
| (208) 322-7284 | |
| (208) 323-9070 |
| Full Name | Deer Point Family Practice Pc |
|---|---|
| Speciality | General Practice |
| Location | 6023 N Eagle Rd, Boise, Idaho |
| Authorized Official Name and Position | Gary A Tubbs (OWNER) |
| Authorized Official Contact | 2083227284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Point Family Practice Pc Po Box 4979 Boise ID 83711-4979 Ph: (208) 322-7284 | Deer Point Family Practice Pc 6023 N Eagle Rd Boise ID 83713-0997 Ph: (208) 322-7284 |
| NPI Number | 1134342264 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134342264 | NPI | - | NPPES |
| 002643400 | Medicaid | ID | |
| 000010028455 | Other | ID | REGENCE BLUE SHIELD OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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