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NPI Code Detail

MEDICARE: DR. DIRK E. BIGLER D.O.

MEDICARE: DR. DIRK E. BIGLER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianO325ID

General Provider Information

NPI Number : 1457304776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIRK E. BIGLER D.O.
Provider Business Mailing Address
First Line : 2265 E SUNNYSIDE RD
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83404-7598
Country : US
Telephone Number : 208-542-5000
Fax Number : 208-542-5151
Provider Business Practice Location Address
First Line : 3100 CHANNING WAY
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83404-7533
Country : US
Telephone Number : 208-529-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/12/2016

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