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Dr. Debra K Mckinnon, DO
Emergency Medical Services (Emergency Medicine) Physician in Moscow, Idaho
NPI 1407903669

Debra K Mckinnon is a Emergency Medical Services (Emergency Medicine) Physician based in Moscow, ID and is specialized in Emergency Medical Services. Debra K Mckinnon practices in Moscow, ID and has the professional credentials of DO. The NPI Number for Debra K Mckinnon is 1407903669 and holds a License No. O-126 (Idaho).

The current practice location address for Debra K Mckinnon is 700 S Main St, Moscow, ID and can be reached out via phone at 208-882-4511 and via fax at 208-883-6580. You can also correspond with Debra K Mckinnon through the mailing address at PO BOX 9899, MOSCOW, ID - 83843-1800 (mailing address contact number: 208-875-1567).

Location: 700 S Main St, Moscow, ID, 83843-1800
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Provider Profile Details
NPI Number
1407903669
Provider Name
Debra K Mckinnon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
700 S Main St, Moscow, ID, 83843-1800
Phone Number
208-882-4511
Fax Number
208-883-6580
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010003680 01 ID REGENCE BS ID
B1717 01 ID BLUE CROSS ID
8144412 05 WA
institution
Provider Business Practice Location Address Details
Address
700 S Main St
City
State
Zip
83843-3056
Phone Number
208-882-4511
Fax Number
208-883-6580
person
Provider Business Mailing Address Details
Address
700 S Main St
City
State
Zip
83843-3056
Phone Number
208-882-4511
Fax Number
208-883-6580
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
License No.
O-126 (Idaho)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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