Dana L Nofziger (NPI# 1548354707, PAC ID# 9133389059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1548354707 |
| PAC ID by PECOS | 9133389059 |
| Professional Enrollment ID | I20120329000827 |
| Full Name | Dana L Nofziger |
| Address |
709 Fair St Buhl ID 83316-6442 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| 131302 | NORTH CANYON MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 709 Fair St, Buhl, ID 83316-6442 |
| Street Address |
709 FAIR ST |
| City | BUHL |
| State | ID |
| Zip | 83316-6442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Cleverley | Chiropractic | 800 Main St, Buhl, ID 83316-1236 | |
| Gloria E Morse | Physical Therapy | 119 Broadway Ave N, Buhl, ID 83316-1622 | |
| Nicholas J Kelsey | Optometry | 650 Broadway Ave S, Buhl, ID 83316-1808 | |
| Nicolas J Hayes | General Surgery | North Canyon Medical Center Inc | 718 Hwy 30, Buhl, ID 83316-5039 |
| Matthew Nelson | Physician Assistant | Family Health Services Corporation | 725 Fair St, Buhl, ID 83316-6442 |
| City | BUHL |
| Zip Code | 83316 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BUHL + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Dana L Nofziger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.