Organization
CALDWELL INTERNAL MEDICINE PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J KOGA M.D. (PRESIDENT)
(208) 459-4667
Entity
Organization
Contact information
Practice address
211 E LOGAN ST, SUITE 201, CALDWELL, ID 83605-4835
(208) 459-4667
(208) 459-3372
Mailing address
211 E LOGAN ST, SUITE 303, CALDWELL, ID 83605-4835
(208) 459-4667
(208) 459-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
10/23/2007
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