NIC R CORDUM

BOISE, ID
NPI1205803756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: ID  M6979)
Enumeration Date2006-03-03
Last Update Date2007-09-07
Business Address
Dr. NIC R CORDUM M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
Mailing Address
Dr. NIC R CORDUM M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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