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SUSAN LEIGH BLOUGH M.D. NPI 1336197870


NPI Information

NPI: 1336197870
Provider Name: SUSAN LEIGH BLOUGH, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
701 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone: (208) 381-6400
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Susan Leigh Blough, M.D. is an internal medicine in Boise, ID. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Susan Leigh Blough, M.D. NPI is 1336197870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 E PARKCENTER BLVD
BOISE, ID
ZIP 83706-528
Phone: (208) 381-6400
Fax: (208) 381-6450

The enumeration date for this NPI number is 5/5/2006 and was last updated on 1/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineM4556IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002251800MEDICAIDIDAHO
21115584MEDICARE ID-TYPE UNSPECIFIED
3C36913MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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