Provider Demographics
NPI:1093705071
Name:CURRAN, ANDREW R (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:CURRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-3009
Mailing Address - Country:US
Mailing Address - Phone:208-336-8250
Mailing Address - Fax:208-345-9514
Practice Address - Street 1:1188 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706
Practice Address - Country:US
Practice Address - Phone:208-336-8250
Practice Address - Fax:208-345-9514
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDO-218207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1093705071Medicaid
IDS3754OtherBLUE SHIELD
ID000010028903OtherBLUE SHIELD
ID000010028904OtherBLUE SHIELD
ID000010136730OtherBLUE SHIELD
ID200039005OtherRAILROAD MEDICARE
IDS3275OtherBLUE CROSS
IDS5080OtherBLUE CROSS
ID805764500Medicaid
IDS3317OtherBLUE CROSS
IDS5080OtherBLUE CROSS
IDS3275OtherBLUE CROSS