Christopher D Streeter MD

NPI 1811968217 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1811968217
Gender Male
Enumeration Date 02/01/2006
Last Updated 10/31/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
413 N ALLUMBAUGH ST
SUITE 102
BOISE ID, 83704-9212, US
Phone (208) 381-5970
Fax (208) 381-5971
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-5970
Fax (208) 381-5971
Toxanomy
Taxonomy Code 2084P0800X
License State Idaho
License Number M-12089
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According to our database, Dr. Christopher D Streeter MD NPI is 1811968217, taxonomy code is 2084P0800X and license number is M-12089, license state is located at Idaho. Christopher D Streeter MD physically located at 413 N Allumbaugh St, Boise ID, 83704-9212. NPI Number Christopher D Streeter MD has the Individual type.

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1811968217 NPI number is provided on an as is basis without warranty of any kind. 1811968217 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher D Streeter MD are for informational purposes only.