Organization
IDAHO PULMONARY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD TURPEN (ADMINISTRATOR)
(208) 323-0031
Entity
Organization
Contact information
Practice address
1075 N CURTIS RD, SUITE 200, BOISE, ID 83706-1300
(208) 323-0031
(208) 323-0064
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
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010135203
REGENCE BLUE SHIELD
ID
01
—
1378037
CIGNA MEDICARE
—
05
—
806207900
—
ID
01
—
8F439
BLUE CROSS
ID
01
—
CK6464
RR MEDICARE
—
Enumeration date
04/12/2007
Last updated
02/19/2009
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