Provider Demographics
NPI:1780941732
Name:SINDT, CEZANNE E (MD)
Entity type:Individual
Prefix:DR
First Name:CEZANNE
Middle Name:E
Last Name:SINDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CEZANNE
Other - Middle Name:E
Other - Last Name:MANOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3340 E GOLDSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1026
Mailing Address - Country:US
Mailing Address - Phone:208-367-4170
Mailing Address - Fax:208-367-8135
Practice Address - Street 1:6533 EMERALD STREET
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8737
Practice Address - Country:US
Practice Address - Phone:208-367-4170
Practice Address - Fax:208-367-8135
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-13085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine