Carissa Pereda M.D.

NPI 1538486923 - Internal Medicine - 207R00000X

NPI Details
NPI 1538486923
Gender Female
Enumeration Date 04/26/2010
Last Updated 08/02/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
500 W FORT ST
#111
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax
Business Location
500 W FORT ST
#111
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Idaho
License Number 1387
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According to our database, Carissa Pereda M.D. NPI is 1538486923, taxonomy code is 207R00000X and license number is 1387, license state is located at Idaho. Carissa Pereda M.D. physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Carissa Pereda M.D. has the Individual type.

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1538486923 NPI number is provided on an as is basis without warranty of any kind. 1538486923 is maintained by the National Plan & Provider Enumeration System. The contents of Carissa Pereda M.D. are for informational purposes only.