| Dana L Nofziger Md Pa | |
|
709 Fair St Buhl ID 83316-6442 | |
| (208) 543-8237 | |
| (208) 543-8238 |
| Full Name | Dana L Nofziger Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 709 Fair St, Buhl, Idaho |
| Authorized Official Name and Position | Dana L Nofziger (PRESIDENT) |
| Authorized Official Contact | 2085438237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana L Nofziger Md Pa Po Box 629 Buhl ID 83316-0629 Ph: (208) 543-8237 | Dana L Nofziger Md Pa 709 Fair St Buhl ID 83316-6442 Ph: (208) 543-8237 |
| NPI Number | 1265708838 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265708838 | NPI | - | NPPES |
| 001832900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | M3722 (Idaho) | Primary |
North Canyon Buhl Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 Hwy 30, Buhl, ID 83316 Phone: 208-934-4433 Fax: 208-934-4442 |