Coire C Weathers


Address: 1919 W State St, Boise, ID 83702-3958

Coire C Weathers (NPI# 1437319662, PAC ID# 4385891993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1437319662
PAC ID by PECOS 4385891993
Professional Enrollment ID I20120904000092
Full Name Coire C Weathers
Address 1919 W State St
Boise
ID 83702-3958
Gender M
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130007 SAINT ALPHONSUS REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
131 N Allumbaugh St, Boise, ID 83704-9204
1919 W State St, Boise, ID 83702-3958
303 N Allumbaugh St, Boise, ID 83704-9208
413 N Allumbaugh St, Suite 101, Boise, ID 83704-9219

Organization Information

Office Location

Street Address 1919 W STATE ST
City BOISE
State ID
Zip 83702-3958

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Amber L Simonson Optometry Ada Vision Center Pa 1926 W State St, Boise, ID 83702-3957
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Competitor

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City BOISE
Zip Code 83702
Specialty PSYCHIATRY
City + Specialty BOISE + PSYCHIATRY

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Dataset Information

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.

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