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Contact Information

MICHAEL A CODINA, MD
4424 E FLAMINGO AVE
SUITE 300
NAMPA, ID83687-9306
 Phone: 208-302-0200
 Fax: 208-302-0255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL A CODINA · (Male)

NPI # 1871540708
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 11/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-10458
  • NV License # 10982
  • NV Medicaid 100503714
  • ID Other M-10458 IDAHO BOARD OF MEDICINE
Hospital affiliation(s)
  • SAINT ALPHONSUS MEDICAL CENTER - NAMPA - (Acute Care)
    1512 TWELFTH AVENUE ROAD
    NAMPA, ID 83686
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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