Organization
DANA L NOFZIGER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA L NOFZIGER M.D. (PRESIDENT)
(208) 543-8237
Entity
Organization
Contact information
Practice address
709 FAIR ST, BUHL, ID 83316-6442
(208) 543-8237
(208) 543-8238
Mailing address
PO BOX 629, BUHL, ID 83316-0629
(208) 543-8237
(208) 543-8238
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M3722
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001832900
—
ID
Enumeration date
03/28/2012
Last updated
03/28/2012
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