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CARDIAC AND ARRHYTHMIA CENTER OF IDAHO PLLC NPI 1629707740


NPI Information

NPI: 1629707740
Provider Name: CARDIAC AND ARRHYTHMIA CENTER OF IDAHO PLLC
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
2960 E. ST LUKE'S ST
SUITE 100
MERIDIAN, ID
ZIP 83642
Phone: (208) 579-6300
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CARDIAC AND ARRHYTHMIA CENTER OF IDAHO PLLC is a clinical cardiac electrophysiology internal medicine in Meridian, ID. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. CARDIAC AND ARRHYTHMIA CENTER OF IDAHO PLLC NPI is 1629707740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2960 E. ST LUKE'S ST
SUITE 100
MERIDIAN, ID
ZIP 83642-245
Phone: (208) 579-6300
Fax: (208) 595-9005

The provider's authorized official is Karl Undesser .
The authorized official title is Owner and has the following contact phone number (208) 447-6741.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 8/25/2022.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyYes

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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