Organization
ANN CORDUM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ALEXANDRA CORDUM M.D. (OWNER)
(208) 994-8656
Entity
Organization
Contact information
Practice address
203 W FORT ST, BOISE, ID 83702-4528
(208) 994-8656
Mailing address
203 W FORT ST, BOISE, ID 83702-4528
(208) 994-8656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-7030
ID
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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