Individual
DR. JAMES P TWEETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N CURTIS RD, BOISE, ID 83706-1336
(208) 373-1200
(208) 373-1216
Mailing address
999 N CURTIS RD, BOISE, ID 83706-1336
(208) 373-1200
(208) 373-1216
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M-5559
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005787
REGENCE BLUE SHIELD
ID
01
—
DA145
BLUE CROSS
ID
Enumeration date
05/26/2006
Last updated
07/08/2007
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