Dan S Zuckerman
Hematology & Oncology
100 E Idaho St
Boise
, Idaho 83712-6223
Dan S Zuckerman
Hematology & Oncology
100 E Idaho St
Boise
, Idaho 83712-6223
(208) 381-2709
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dan S Zuckerman
- 190 E Bannock St
- Boise, ID
- Zip : 83712-6241
- Phone : (208) 381-2709
Second Address
- Dan S Zuckerman
- 100 E Idaho St
- Boise, ID
- Zip : 83712-6223
- Fax : (208) 381-4025
- Phone : (208) 381-2711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | M10165 | ID |
National Provider Identifier
| NPI | 1023093507 |
|---|---|
| Provider Name | Dan S Zuckerman |
| First Address | Boise, ID 83712-6241 |
| Second Address | Boise, ID 83712-6223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 20/09/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.