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NPI Code Detail

MEDICARE: DR. YVONNE PERLE TREECE M.D.

MEDICARE: DR. YVONNE PERLE TREECE 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
1174400000XSpecialist43055TN
2207V00000XObstetrics & Gynecology Physician2008013988MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255520599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YVONNE PERLE TREECE M.D.
Provider Business Mailing Address
First Line : 500 S 11TH AVE STE 400
Second Line :
City : POCATELLO
State : ID
Zip : 83201-4880
Country : US
Telephone Number : 208-323-7862
Fax Number : 208-232-7862
Provider Business Practice Location Address
First Line : 500 S 11TH AVE STE 204
Second Line :
City : POCATELLO
State : ID
Zip : 83201-4878
Country : US
Telephone Number : 208-232-7862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2007
Last Update Date : 01/19/2026

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