specializing in general practice in Boise, Idaho

NPI: 1780987164

Provider Type

2

Practice Locations

Mailing Location

1317 W RIVER ST

BOISE, ID 83702

📞 2089390100

📠 2089479925

Practice Location

1317 W RIVER ST

BOISE, ID 83702

📞 2089390100

📠 2089479925

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/7/2010
Last Updated:12/7/2010

Credentials

Primary Credential:
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