Individual
DEREK LINDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
M-13924
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44735260
—
CO
Enumeration date
09/22/2006
Last updated
08/31/2022
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