| Noall E Wolff Md | |
|
465 Washington St Montpelier ID 83254-1544 | |
| (208) 847-2878 | |
| (208) 847-2340 |
| Full Name | Noall E Wolff Md |
|---|---|
| Speciality | Family Medicine |
| Location | 465 Washington St, Montpelier, Idaho |
| Authorized Official Name and Position | Noall E Wolff (PHYSICIAN) |
| Authorized Official Contact | 2088472878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noall E Wolff Md 465 Washington St Montpelier ID 83254-1544 Ph: (208) 847-2878 | Noall E Wolff Md 465 Washington St Montpelier ID 83254-1544 Ph: (208) 847-2878 |
| NPI Number | 1003985292 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003985292 | NPI | - | NPPES |
| 807622700 | Medicaid | ID | |
| 8L568 | Other | ID | BLUE CROSS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3599 (Idaho) | Primary |
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Bear Lake Family Care And Ob/gyn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
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