Hospital Medicine Associates of Idaho PC

NPI #1629425707 in Caldwell, Idaho

Provider Information

NPI Number: 1629425707
Entity Type: Organization
Organization Name: Hospital Medicine Associates of Idaho PC
Primary Specialty: Hospitalist
Enumeration Date: May 19, 2016
Last Updated: Aug 5, 2016

Practice Location

Address: 1717 ARLINGTON AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4802
Phone: (208) 459-4641

Authorized Official

Name: DR. JASEN W. GUNDERSEN, MD
Title: PRESIDENT
Phone: (800) 424-3672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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