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Organization

DONALD G PICA MD PA

Active
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Organization

DONALD G PICA MD PA

Active
Other names
IDAHO RHEUMATOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD G PICA M.D. (PHYSICIAN)
(208) 732-3236
Entity
Organization

Contact information

Practice address
660 SHOSHONE ST E, SUITE 210, TWIN FALLS, ID 83301-6110
(208) 732-3236
(208) 732-3112
Mailing address
660 SHOSHONE ST E, SUITE 210, TWIN FALLS, ID 83301-6110
(208) 732-3236
(208) 732-3112

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003889200
ID
Enumeration date
05/31/2006
Last updated
03/09/2013
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