Organization · Type 2 NPI

Mercy Physician Group Inc.

Adult Medicine Physician · Nampa, ID

NPI number 1104972983 Active

Practice location

1512 12th Ave Rd
Nampa, ID 83686-6008

Fax (208) 463-5578

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician 207QA0000XNone listed
Adult Medicine Physician Primary 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Surgery Physician 208600000XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

26 other providers at this address

About NPI 1104972983

Mercy Physician Group Inc.'s National Provider Identifier is 1104972983, issued on Jan 26, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Nampa, ID. The record was last updated on Apr 14, 2008.