DR. NIC R CORDUM (M.D.) – Gastroenterology Physician, NPI 1205803756
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Doctor Profile
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Provider Addresses for DR. NIC R CORDUM (M.D.)
6259, West Emerald Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States
BOISE, ID 837048731
Phone: (208) 489-1900
Fax: (208) 375-5286
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | ID | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 44 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | ID | |
| Internal Medicine, Gastroenterology | CA | |
| G A S T R O E N T E R O L O G Y | ID | |
| G A S T R O E N T E R O L O G Y | NV | |
| Nurse Practitioner | ID | |
| - | ID | |
| Gastroenterology, Internal Medicine | ID | |
| G A S T R O E N T E R O L O G Y | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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