Alvin Jackson Secrest III MD

  • NPI 1053314864
According to our database, the NPI number for Alvin Jackson Secrest III MD is 1053314864 and activated since 18 years ago. Alvin Jackson Secrest III MD is an individual provider who specializes in Family Medicine, and the primary practice location is 701 Lewiston St, Cottonwood, ID 83522. You can also contact Alvin Jackson Secrest III MD via telephone number is (208) 962-3267. Provider NPI information was last updated on 08/11/2021.

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Overview of Alvin Jackson Secrest III MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/24/2005
  • Last updated: 08/11/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: M6256
  • License State: ID

Provider Mailing Address

  • Address: Po Box 565
    Cottonwood, ID 83522
  • Phone: 208-962-3267
  • Fax: 208-962-2313

Provider Practice Location

  • Address: 701 Lewiston St
    Cottonwood, ID 83522
  • Phone: 208-962-3267
  • Fax: 208-962-2313

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: M6256
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 002284400
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Alvin Jackson Secrest III MD?
  • A: The npi number for Alvin Jackson Secrest III MD is 1053314864.
  • Q: What are Alvin Jackson Secrest III MD's specialties?
  • A: Alvin Jackson Secrest III MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Alvin Jackson Secrest III MD?
  • A: The medical license number for Alvin Jackson Secrest III MD is M6256 and issued in ID in USA.
  • Q: Where is Alvin Jackson Secrest III MD practice location?
  • A: Alvin Jackson Secrest III MD is practicing at 701 Lewiston St, Cottonwood, ID 83522.
  • Q: How to contact Alvin Jackson Secrest III MD?
  • A: You can contact Alvin Jackson Secrest III MD via 208-962-3267.