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Douglas R. Schultz
Preferred Provider Organization in Idaho Falls, Idaho
NPI 1326414673

Douglas R. Schultz is a Preferred Provider Organization based in Idaho Falls, ID. Douglas R. Schultz practices in Idaho Falls, ID. The NPI Number for Douglas R. Schultz is 1326414673 and holds a License No. CHIA-1634 (Idaho).

The current practice location address for Douglas R. Schultz is 2285 E 25Th St, Idaho Falls, ID and can be reached out via phone at 480-340-3807.

Location: 2285 E 25Th St, Idaho Falls, ID, 83404-4724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326414673
Provider Name
Douglas R. Schultz
Credential
Provider Entity Type
Organization
Address
2285 E 25Th St, Idaho Falls, ID, 83404-4724
Phone Number
480-340-3807
Fax Number
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164605507 05 ID
institution
Provider Business Practice Location Address Details
Address
2285 E 25Th St
City
Idaho Falls
State
Idaho
Zip
83404-4724
Phone Number
480-340-3807
Fax Number
person
Provider Business Mailing Address Details
Address
2285 E 25Th St
City
Idaho Falls
State
Idaho
Zip
83404-4724
Phone Number
480-340-3807
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
CHIA-1634 (Idaho)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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