| Paul Jones, | |
|
1906 Fairview Ave Ste 350, Caldwell, ID 83605-5425 | |
| (208) 454-9181 | |
| Not Available |
| Full Name | Paul Jones |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1906 Fairview Ave Ste 350, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013331172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | M-16790 (Idaho) | Primary |
| 208800000X | Urology | PG205281 (Oregon) | Secondary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Jones, 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Paul Jones, 1906 Fairview Ave Ste 350, Caldwell, ID 83605-5425 Ph: (208) 454-9181 |
Dr. Michael S Morris, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-9181 Fax: 208-454-6338 | |
Donald K Stritzke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-454-9181 Fax: 208-454-6338 | |
Dr. Hasan Dani, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1906 Fairview Ave Ste 430, Caldwell, ID 83605 Phone: 208-302-0270 Fax: 208-302-0279 |