Blake D Niederhauser MD

  • NPI 1578726683
According to our database, the NPI number for Blake D Niederhauser MD is 1578726683 and activated since 15 years ago. Blake D Niederhauser MD is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 190 E Bannock St, Boise, ID 83712. You can also contact Blake D Niederhauser MD via telephone number is (208) 381-2094. Provider NPI information was last updated on 01/10/2018.

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Overview of Blake D Niederhauser MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/08/2008
  • Last updated: 01/10/2018

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: M-12384
  • License State: ID

Provider Mailing Address

  • Address: Po Box 1108
    Corvallis, OR 97339
  • Phone: 208-381-2094
  • Fax: 208-381-1791

Provider Practice Location

  • Address: 190 E Bannock St
    Boise, ID 83712
  • Phone: 208-381-2094
  • Fax: 208-381-1791

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: M-12384
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ENROLLED
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • 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 Blake D Niederhauser MD?
  • A: The npi number for Blake D Niederhauser MD is 1578726683.
  • Q: What are Blake D Niederhauser MD's specialties?
  • A: Blake D Niederhauser MD's specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Blake D Niederhauser MD?
  • A: The medical license number for Blake D Niederhauser MD is M-12384 and issued in ID in USA.
  • Q: Where is Blake D Niederhauser MD practice location?
  • A: Blake D Niederhauser MD is practicing at 190 E Bannock St, Boise, ID 83712.
  • Q: How to contact Blake D Niederhauser MD?
  • A: You can contact Blake D Niederhauser MD via 208-381-2094.