Individual
JAMES R DZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 W GEORGIA AVE, SUITE 115, NAMPA, ID 83686-6811
(208) 463-3000
(208) 463-3034
Mailing address
217 W GEORGIA AVE, SUITE 115, NAMPA, ID 83686-6811
(208) 463-3000
(208) 463-3034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5982
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001073
BLUE SHIELD
ID
01
—
59824
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
07/09/2007
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