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NPI Code Detail

MEDICARE: DR. PATRICE FERRON HIRNING M.D.

MEDICARE: DR. PATRICE FERRON HIRNING M.D.
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
1207R00000XInternal Medicine Physician184295UT
2207R00000XInternal Medicine PhysicianM-16310ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M-16310OTHERIDBOM

General Provider Information

NPI Number : 1770580078
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICE FERRON HIRNING M.D.
Provider Business Mailing Address
First Line : 215 E HAWAII AVE STE 200
Second Line :
City : NAMPA
State : ID
Zip : 83686-6011
Country : US
Telephone Number : 208-463-3000
Fax Number :
Provider Business Practice Location Address
First Line : 215 E HAWAII AVE
Second Line :
City : NAMPA
State : ID
Zip : 83686-6011
Country : US
Telephone Number : 208-463-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 11/17/2022

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