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Dr. Derek B Hamblin, MD
Specialist in Caldwell, Idaho
NPI 1790713204

Derek B Hamblin is a Specialist based in Boise, ID. Derek B Hamblin practices in Caldwell, ID and has the professional credentials of MD. The NPI Number for Derek B Hamblin is 1790713204 and holds a License No. M-11020 (Idaho).

The current practice location address for Derek B Hamblin is 4815 Cleveland Blvd, Caldwell, ID and can be reached out via phone at 208-455-3545.

Location: 4815 Cleveland Blvd, Caldwell, ID, 83719-1050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790713204
Provider Name
Derek B Hamblin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4815 Cleveland Blvd, Caldwell, ID, 83719-1050
Phone Number
208-455-3545
Fax Number
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00479099 01 OR MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4815 Cleveland Blvd
City
Caldwell
State
Idaho
Zip
83605-6501
Phone Number
208-455-3545
Fax Number
person
Provider Business Mailing Address Details
Address
4815 Cleveland Blvd
City
Caldwell
State
Idaho
Zip
83605-6501
Phone Number
208-455-3545
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD23651 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-11020 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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