Caldwell Internal Medicine Professional Association

NPI #1649225616 in Caldwell, Idaho

Provider Information

NPI Number: 1649225616
Entity Type: Organization
Organization Name: Caldwell Internal Medicine Professional Association
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2006
Last Updated: Oct 23, 2007

Practice Location

Address: 211 E LOGAN ST
Address 2: SUITE 201
City: Caldwell
State: Idaho
ZIP Code: 83605-4835
Phone: (208) 459-4667

Authorized Official

Name: STEVEN J KOGA, M.D.
Title: PRESIDENT
Phone: (208) 459-4667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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