Individual
RICHARD A AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4667
(208) 459-3372
Mailing address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 455-4082
(208) 455-3922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7291
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003561800
—
ID
Enumeration date
06/12/2006
Last updated
06/11/2015
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