Individual
JOHN D CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2993 N COLE RD, BOISE, ID 83704-5977
(208) 378-0400
(208) 378-7529
Mailing address
2993 N COLE RD, BOISE, ID 83704-5977
(208) 378-0400
(208) 378-7529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8620
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806407900
—
ID
01
—
P00317456
RR MEDICARE
—
Enumeration date
06/03/2006
Last updated
08/04/2008
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