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JOHN KODATT, MD

MD

Family Medicine Physician

NPI: 1083354039IndividualAccepts Medicare

Specialties, Licenses & Credentials

Emergency Medicine

Code: 207P00000X

R6281(KY)

Family Medicine

Code: 207Q00000X

2171959(ID)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2022

Contact & Hours

Via practice · 3 locations total

Address
712 AVIATION WAY
CALDWELL, ID 83605

Quick Facts

NPI
1083354039
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
3
Years in Practice
4

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