Individual
MR. DOUGLAS ALAN CIPRIANO
Active
Individual
MR. DOUGLAS ALAN CIPRIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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