Individual
MR. JOSEPH EDWARD PODANY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1110
(208) 847-0228
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1110
(208) 847-0228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5131
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005714
BLUE SHIELD
—
01
—
34322
BC
—
Enumeration date
11/09/2006
Last updated
07/19/2007
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