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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN R SONNTAG, M.D.

Deactivated

Ophthalmology · BOISE, ID

This NPI has been deactivated. The record was deactivated on March 27, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1245223809
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2005 (0.57534246575342 yrs)
Last Updated
Jun 25, 2012
Deactivated
Mar 27, 2006
License
M4623 (ID)

Practice Information

Address
5680 W GAGE ST
BOISE, ID, 837061326
Browse ID providers · Browse ZIP 83706
Phone
2083773937
Fax
2083779455
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in BOISE, ID

Name Credential NPI
DR. MARK J BOERNER M.D. 1003819459
MARK E HOLLINGSHEAD M.D. 1689670911
DENTON R ROBERTS MD 1699742395
ADAM C REYNOLDS M.D. 1417916586
DR. SCOTT ALAN LARSON MD 1992757991
JON R FISHBURN MD 1639123490
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.