institution
L. William D. Nowierski, M.d. Pa
Medical Specialty Clinic/Center in Boise, Idaho
NPI 1710166004

L. William D. Nowierski, M.d. Pa is a Medical Specialty Clinic/Center based in Boise, ID and is specialized in Medical Specialty. L. William D. Nowierski, M.d. Pa practices in Boise, ID. The NPI Number for L. William D. Nowierski, M.d. Pa is 1710166004 and holds a License No. M4341 (Idaho).

The current practice location address for L. William D. Nowierski, M.d. Pa is 100 Warm Springs Ave, Boise, ID and can be reached out via phone at 208-343-5910 and via fax at 208-384-8562.

Location: 100 Warm Springs Ave, Boise, ID, 83712-6243
institution
Provider Profile Details
NPI Number
1710166004
Provider Name
L. William D. Nowierski, M.d. Pa
Credential
Provider Entity Type
Organization
Address
100 Warm Springs Ave, Boise, ID, 83712-6243
Phone Number
208-343-5910
Fax Number
208-384-8562
Provider Enumeration Date
11/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4341-4 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
100 Warm Springs Ave
City
State
Zip
83712-6243
Phone Number
208-343-5910
Fax Number
208-384-8562
person
Provider Business Mailing Address Details
Address
100 Warm Springs Ave
City
State
Zip
83712-6243
Phone Number
208-343-5910
Fax Number
208-384-8562
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
M4341 (Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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