Individual
CAROLYN REES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 E LOGAN ST, SUITE 303, CALDWELL, ID 83605-0000
(208) 459-4667
(208) 459-3372
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
(208) 459-4667
(208) 459-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7111
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002266
BLUE SHIELD
ID
05
—
804151800
—
ID
Enumeration date
06/05/2006
Last updated
04/17/2009
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