Individual
DR. ERIC W KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,MPH, TM
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M8502
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152028
BLUE SHIELD NAMPA
ID
01
—
000010157178
BLUE SHIELD MERIDIAN
ID
01
—
76535
BLUE CROSS NAMPA
ID
05
—
806360400
—
ID
01
—
B5599
BLUE CROSS MERIDIAN
ID
01
—
P00250188
RAILROAD MEDICARE
ID
Enumeration date
06/16/2005
Last updated
03/04/2009
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