Individual
DR. JOHN P EPPERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34891
IA
207P00000X
Emergency Medicine Physician
Primary
M-10097
ID
207P00000X
Emergency Medicine Physician
MD185493
OR
207P00000X
Emergency Medicine Physician
ME 83947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807930300
—
ID
Enumeration date
07/08/2006
Last updated
08/04/2022
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