Search › Idaho › 207Q00000X
Courtney Bannick, MD
NPI 1538518899 · on the registry since 2016
Practice
- Address
- 444 W Fort St.
Crh 2nd Floor
Boise, ID 83702 - Phone
- (208) 422-1018
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- TX, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-26
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