Individual
DR. THOMAS CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9 AIRPORT RD, BLACKFOOT, ID 83221-1702
(208) 782-3700
(208) 782-3765
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3700
(208) 782-3765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
O222
ID
207Q00000X
Family Medicine Physician
Primary
O222
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140863
BSID
ID
01
—
000010150482
REGENCE BLUE SHIELD
ID
05
—
1699723569
—
MT
01
—
266530
ALTIUS OLD
ID
01
—
312944
ALTIUS
ID
01
—
S4026
BCID
ID
01
—
S5643
BLUE CROSS OLD
ID
01
—
S6114
BLUE CROSS
ID
05
—
Z3649
—
UT
Enumeration date
05/04/2006
Last updated
03/18/2008
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