Individual
DR. NORMAN JOHN EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 367-8333
(208) 367-2003
Mailing address
1075 N CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 323-0031
(208) 323-0064
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
M-8258
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010034564
BLUE SHIELD
ID
01
—
1102834
CIGNA MEDICARE
ID
01
—
45898
BLUE CROSS
ID
05
—
806139200
—
ID
01
—
P00063543
RR MEDICARE
ID
Enumeration date
02/01/2007
Last updated
12/01/2009
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