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Search › Idaho › 363A00000X

John Trueblood, PAC

NPI 1629047931 · on the registry since 2006

Practice

Address
701 Lewiston Street
Cottonwood, ID 83522
Phone
(208) 962-3267
Fax
(208) 962-3722
Organisation at this address
St. Mary'S Hospital Inc
St. Mary'S Hospital Inc
St. Mary'S Hospital Inc
St. Mary'S Hospital Inc
St. Mary'S Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho