specializing in emergency medicine in Boise, Idaho
NPI: 1003140724
Provider Type
2
Practice Locations
Mailing Location
6568 S FEDERAL WAY
STE 311
BOISE, ID 83716
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:9/28/2009
Last Updated:9/28/2009
Credentials
Primary Credential: