Individual
MR. DOUGLAS ALAN CIPRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 N. 3RD AVENUE, SUITE 201, SANDPOINT, ID 83864-1689
(208) 263-8597
(208) 265-0667
Mailing address
606 N. 3RD AVENUE, SUITE 201, SANDPOINT, ID 83864-1689
(208) 263-8597
(208) 265-0667
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M6568
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000103
REGENCE BLUE SHIELD
ID
05
—
002777500
—
ID
01
—
1009215
IDAHO STATE INSURANCE
ID
05
—
1164597431
—
MT
01
—
360191400
US DEPT OF LABOR
ID
01
—
76559
BLUE CROSS
ID
05
—
8464828
—
WA
01
—
P00041410
RAILROAD MEDICARE
ID
Enumeration date
11/22/2006
Last updated
07/01/2009
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