Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEVEN EDWARD PONTICKIO, M.D.
ActiveDR. STEVEN EDWARD PONTICKIO, M.D. is a Internal Medicine healthcare provider located in BOISE, Idaho. NPI 1497097778 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BOISE, ID
Registration Details
- NPI Number
- 1497097778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2013 (13.416031954688 yrs)
- Last Updated
- Aug 4, 2013
- License
-
MRM1318 (ID)
Practice Information
- Address
-
500 W FORT ST # 111ATTN: STEVEN PONTICKIO, MDBOISE, ID, 837024501Browse ID providers · Browse ZIP 83702
- Phone
- 2084221314
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN E SPENCER SR. | MD | 1376548230 |
| DR. SUSAN ELIZABETH BAXTER | MD | 1417959842 |
| LEE M KORNFIELD | MD | 1275527186 |
| DR. GRETCHEN L KOHLER | MD | 1982698502 |
| DR. PETER MATTHEW CLIFTEN | M.D. | 1760473771 |
| DR. LESLEIGH A BOX | MD | 1720064785 |
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.