Richard A Augustus MD

NPI 1699717793 - Family Medicine - 207Q00000X

NPI Details
NPI 1699717793
Gender Male
Enumeration Date 06/12/2006
Last Updated 06/11/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1717 ARLINGTON AVE
CALDWELL ID, 83605-4802, US
Phone (208) 459-4667
Fax (208) 459-3372
Business Location
1717 ARLINGTON AVE
CALDWELL ID, 83605-4802, US
Phone (208) 455-4082
Fax (208) 459-3372
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M7291
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According to our database, Richard A Augustus MD NPI is 1699717793, taxonomy code is 207Q00000X and license number is M7291, license state is located at Idaho. Richard A Augustus MD physically located at 1717 Arlington Ave, Caldwell ID, 83605-4802. NPI Number Richard A Augustus MD has the Individual type.

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1699717793 NPI number is provided on an as is basis without warranty of any kind. 1699717793 is maintained by the National Plan & Provider Enumeration System. The contents of Richard A Augustus MD are for informational purposes only.