Organization
BRUCE C MCCOMAS, M. D., P. A.
Active
Other names
Southern Idaho Vein Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE C MCCOMAS M.D. (PHYSICIAN)
(208) 734-3596
Entity
Organization
Contact information
Practice address
775 POLE LINE RD W, SUITE 212, TWIN FALLS, ID 83301-5814
(208) 814-8400
(208) 734-3045
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5070
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000369200
—
ID
01
—
020048945
RR MEDICARE
ID
Enumeration date
06/04/2006
Last updated
03/09/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us