| Treasure Valley Gastroenterology Specialists Inc | |
|
222 W Iowa Ave Suite A Nampa ID 83686-6813 | |
| (208) 467-3432 | |
| (208) 467-4147 |
| Full Name | Treasure Valley Gastroenterology Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 W Iowa Ave, Nampa, Idaho |
| Authorized Official Name and Position | Raquel Croitoru (GASTROENTEROLOGIST) |
| Authorized Official Contact | 2084673432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Gastroenterology Specialists Inc 222 W Iowa Ave Suite A Nampa ID 83686-6813 Ph: (208) 467-3432 | Treasure Valley Gastroenterology Specialists Inc 222 W Iowa Ave Suite A Nampa ID 83686-6813 Ph: (208) 467-3432 |
| NPI Number | 1194817023 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 02/04/2013 |
| Medicare PECOS PAC ID | 1456373786 |
|---|---|
| Medicare Enrollment ID | O20051229000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194817023 | NPI | - | NPPES |
| 002701100 | Medicaid | ID | |
| 000010006187 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 84160 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M-5744 (Idaho) | Primary |
| Provider Name | Raquel Croitoru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164525853 PECOS PAC ID: 5991727224 Enrollment ID: I20100630000302 |
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