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Michael E. Estess, M. D. Chartered
Preferred Provider Organization in Boise, Idaho
NPI 1558585455

Michael E. Estess, M. D. Chartered is a Preferred Provider Organization based in Boise, ID. Michael E. Estess, M. D. Chartered practices in Boise, ID. The NPI Number for Michael E. Estess, M. D. Chartered is 1558585455 and holds a License No. M-3173 (Idaho).

The current practice location address for Michael E. Estess, M. D. Chartered is 1471 Shoreline Dr, Boise, ID and can be reached out via phone at 208-345-2630 and via fax at 208-345-6504.

Location: 1471 Shoreline Dr, Boise, ID, 83702-6879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558585455
Provider Name
Michael E. Estess, M. D. Chartered
Credential
Provider Entity Type
Organization
Address
1471 Shoreline Dr, Boise, ID, 83702-6879
Phone Number
208-345-2630
Fax Number
208-345-6504
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000010003612 01 ID BLUE SHIELD
DG399 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1471 Shoreline Dr
City
Boise
State
Idaho
Zip
83702-6879
Phone Number
208-345-2630
Fax Number
208-345-6504
person
Provider Business Mailing Address Details
Address
1471 Shoreline Dr
City
Boise
State
Idaho
Zip
83702-6879
Phone Number
208-345-2630
Fax Number
208-345-6504
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
M-3173 (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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