Dr. JOHN KODATT MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1083354039- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1510 12TH AVE RD STE 200, NAMPA, ID, 836866946
- Phone
- (208) 302-6800
- Fax
- (208) 302-6855
Specialties & Taxonomies
Emergency Medicine
License: KY #R6281
Family Medicine
Primary License: ID #2171959
Student in an Organized Health Care Education/Training Program