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Dr. Nicholas William D'amico, MD,CAPTAINUSAF
General Practice Physician in Mountain Home Afb, Idaho
NPI 1427679109

Nicholas William D'amico is a General Practice Physician based in Mountain Home Afb, ID. Nicholas William D'amico practices in Mountain Home Afb, ID and has the professional credentials of MD,CAPTAINUSAF. The NPI Number for Nicholas William D'amico is 1427679109 and holds a License No. (Idaho).

The current practice location address for Nicholas William D'amico is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID and can be reached out via phone at 208-828-7401.

Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427679109
Provider Name
Nicholas William D'amico
Credential
MD,CAPTAINUSAF
Provider Entity Type
Individual
Gender
Male
Address
90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1062
Phone Number
208-828-7401
Fax Number
Provider Enumeration Date
05/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7401
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7401
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
M-15994 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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