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DAVID DEROIN MD NPI 1609815158


NPI Information

NPI: 1609815158
Provider Name: DAVID DEROIN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
222 N 2ND ST
SUITE 103
BOISE, ID
ZIP 83702
Phone: (208) 342-7722
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David Deroin, MD is a family medicine in Boise, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. David Deroin, MD NPI is 1609815158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 N 2ND ST
SUITE 103
BOISE, ID
ZIP 83702-109
Phone: (208) 342-7722

The enumeration date for this NPI number is 6/6/2006 and was last updated on 4/13/2009.


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
1207Q00000XFamily MedicineM6079IDAHOYes

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
111269111MEDICARE PINIDAHO
2B90935MEDICARE 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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