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NPI Code Detail

MEDICARE: JEFFREY SORIN ISPIRESCU MD

MEDICARE:   JEFFREY SORIN ISPIRESCU  MD
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianM9912ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M9912OTHERIDSTATE MEDICAL LICENSE
2A74798OTHERCAMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952345241
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY SORIN ISPIRESCU MD
Provider Business Mailing Address
First Line : 1327 SUPERIOR ST
Second Line : SUITE 101
City : SANDPOINT
State : ID
Zip : 83864-1735
Country : US
Telephone Number : 208-263-9757
Fax Number : 208-965-8128
Provider Business Practice Location Address
First Line : 1327 SUPERIOR ST
Second Line : SUITE 101
City : SANDPOINT
State : ID
Zip : 83864-1735
Country : US
Telephone Number : 208-263-9757
Fax Number : 208-965-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 05/06/2014

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Directions to “ JEFFREY SORIN ISPIRESCU MD” Practice Location

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