NPI 1114975802 JOHN ULLERY MD BOISE ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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John Ullery - NPI: 1114975802

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JOHN ULLERY
NPI Number: 1114975802
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: M-3962
Business Practice Address: 305 E Jefferson St
Suite 101 Boise, ID - 837126273
Business Phone Number: 2083450715
Business Fax Number: 2083451142
Mailing Address: 305 E Jefferson St, Suite 101
BOISE
State: ID
Postal Code: 837126273
Phone Number: 2083450715
Fax Number: 2083451142
NPI Enumeration Date: 05/04/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208000000X
License Number: M-3962
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ID
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Pediatrics
Taxonomy Specialization:
Taxonomy Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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