Ann Cordum Pllc

NPI #1013383645 in Boise, Idaho

Provider Information

NPI Number: 1013383645
Entity Type: Organization
Organization Name: Ann Cordum Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 18, 2015
Last Updated: Aug 18, 2015

Practice Location

Address: 203 W FORT ST
City: Boise
State: Idaho
ZIP Code: 83702-4528
Phone: (208) 994-8656

Authorized Official

Name: ANN ALEXANDRA CORDUM, M.D.
Title: OWNER
Phone: (208) 994-8656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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