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NPI Code Detail

MEDICARE: COURTNEY SCOTT ISAACS DO

MEDICARE: COURTNEY SCOTT ISAACS DO
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
1207Q00000XFamily Medicine Physician187-T1WY
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine PhysicianO-1793ID

General Provider Information

NPI Number : 1083294227
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY SCOTT ISAACS DO
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-302-9342
Fax Number :
Provider Business Practice Location Address
First Line : 1510 12TH AVE RD STE 200
Second Line :
City : NAMPA
State : ID
Zip : 83686-6946
Country : US
Telephone Number : 208-302-6800
Fax Number : 208-302-6855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2021
Last Update Date : 09/18/2025

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