Individual provider · NPI-1

Dr. Martin J Gabica, MD

Family Medicine · Eagle, ID

NPI number1801156351
StatusActive
Last updated in NPPESDec 4, 2015

Details

NPI
1801156351
Entity type
Individual (NPI-1)
Name
Dr. Martin J Gabica
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 17, 2012
Last updated
Dec 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM-3794IDYes

Practice location

2323 E Buckskin Ct
Eagle, ID 83616-2931

Phone 208-866-3913

Mailing address

2323 E Buckskin Ct
Eagle, ID 83616-2931

Phone 208-866-3913

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