Individual
PATRICIA M BUERSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 S EAGLE RD STE 3102, MERIDIAN, ID 83642-6352
(208) 706-5100
(208) 706-5169
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8501
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138343
BLUE SHIELD
ID
01
—
110238082
RAILROAD MEDICARE
ID
01
—
48025
BLUE CROSS
ID
05
—
806314500
—
ID
01
—
806395800
HEALTHY CONNECTIONS
—
Enumeration date
10/21/2005
Last updated
05/10/2024
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