Individual
ANN CORDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 W FORT ST, BOISE, ID 83702-4528
(208) 994-8656
(888) 972-4280
Mailing address
203 W FORT ST, BOISE, ID 83702-4528
(208) 994-8656
(888) 972-4280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7030
ID
Other
Enumeration date
05/08/2006
Last updated
06/26/2015
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