Individual
DOUGLAS M. LINFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 N BERKLEY, COUNCIL, ID 83612
(208) 253-4242
(208) 253-6849
Mailing address
P O BOX 428, COUNCIL, ID 83612-0428
(208) 253-4242
(208) 253-6849
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0182
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155351
BLUE SHIELD
ID
01
—
S6008
BLUE CROSS
ID
Enumeration date
01/09/2007
Last updated
12/24/2007
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