Organization · Type 2 NPI

Evernorth Care Providers - Arizona PC

General Practice Physician · Boise, ID

NPI number 1295597821 Active

Practice location

950 W Bannock St Ste 1100
Boise, ID 83702-6140

Call (773) 292-4800 Map

Fax (312) 564-4059

Mailing address

730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1295597821

Evernorth Care Providers - Arizona PC's National Provider Identifier is 1295597821, issued on Jan 29, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boise, ID. The record was last updated on Jan 29, 2024.