| Durham Family Medicine, Pllc | |
|
8921 W Hackamore Dr Boise ID 83709-1673 | |
| (208) 994-4123 | |
| Not Available |
| Full Name | Durham Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8921 W Hackamore Dr, Boise, Idaho |
| Authorized Official Name and Position | Joshua Durham (OWNER) |
| Authorized Official Contact | 2089944123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Family Medicine, Pllc 8921 W Hackamore Dr Boise ID 83709-1673 Ph: (208) 994-4123 | Durham Family Medicine, Pllc 8921 W Hackamore Dr Boise ID 83709-1673 Ph: (208) 994-4123 |
| NPI Number | 1215714084 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 7214383017 |
|---|---|
| Medicare Enrollment ID | O20231031001949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215714084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua E Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013194208 PECOS PAC ID: 5799858437 Enrollment ID: I20130204000202 |
| Provider Name | Erika V Aragona |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1316236466 PECOS PAC ID: 1951532282 Enrollment ID: I20160419000390 |
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