NPI 1013383645

Ann Cordum PLLC

Organisation Internal Medicine Physician Boise, ID

Practice location

Address: 203 W Fort St, Boise, ID 83702-4528
Phone: (208) 994-8656

Authorised official

Name: Ann Alexandra Cordum
Title: Owner
Phone: (208) 994-8656

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M-7030 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1013383645
Entity type: Organization
NPI issued: 18 Aug 2015
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.