# DANA L NOFZIGER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265708838
- **Authorized official:** DR. DANA L NOFZIGER M.D. (PRESIDENT)
- **Authorized official phone:** (208) 543-8237

## Contact information

- **Practice address:** 709 FAIR ST, BUHL, ID 83316-6442
- **Practice address phone:** (208) 543-8237
- **Practice address fax:** (208) 543-8238
- **Mailing address:** PO BOX 629, BUHL, ID 83316-0629
- **Mailing address phone:** (208) 543-8237
- **Mailing address fax:** (208) 543-8238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | M3722 | ID | Yes |

## Other

- **Enumeration date:** 03/28/2012
- **Last updated:** 03/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001832900 | — | ID |