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Organization

DISPATCH HEALTH IDAHO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM KRAMER (CHIEF LEGAL OFFICER)
(215) 813-5940
Entity
Organization

Contact information

Practice address
9100 MARKSFIELD RD, LOUISVILLE, KY 40222-5299
(208) 268-8024
Mailing address
3827 N LAFAYETTE ST, DENVER, CO 80205-3339

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
10/21/2021
Last updated
07/07/2025
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