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ANN CORDUM, PLLC

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Company Details

Name: ANN CORDUM, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Nov 2010 (15 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 303337
Place of Formation: IDAHO
File Number: 303337
ZIP code: 83712
County: Ada County
Principal Address: 1316 E WASHINGTON ST BOISE, ID 83712
Mailing Address: 1316 E WASHINGTON ST BOISE, ID 83712-8039

Agent

Name Role Address
ANN CORDUM Agent 1316 E WASHINGTON ST, BOISE, ID 83712

Member

Name Role Address Appointed On
Ann Cordum Member 1316 E. WASHINGTON, BOISE, ID 83712 2020-11-03

National Provider Identifier

NPI Number:
1013383645

Authorized Person:

Name:
ANN ALEXANDRA CORDUM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005950893 2024-10-25
Annual Report 0005474764 2023-11-09
Annual Report 0004973691 2022-11-03
Annual Report 0004433557 2021-10-03
Annual Report 0004050321 2020-11-03

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State