Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M7316 | ID |
N | 111NI0900X | Internist | M7316 | ID |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | M7316 | ID |
NPI | 1013958222 |
---|---|
Provider Name | Peter Curran |
First Address | Ketchum, ID 83340-6438 |
Second Address | Ketchum, ID 83340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |