Idaho Center For Reproductive Medicine Pc

NPI 1063551174 - Obstetrics & Gynecology - 207VE0102X

NPI Details
NPI 1063551174
Enumeration Date 02/05/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GENIE T GENIE
Position BUS ADMIN
Phone (208) 342-5900
Fax (208) 342-2088
Practice Location
111 MAIN ST
SUITE 100
BOISE ID, 83702-7307, US
Phone (208) 342-5900
Fax (208) 342-2088
Business Location
111 MAIN ST
SUITE 100
BOISE ID, 83702-7307, US
Phone (208) 342-5900
Fax (208) 342-2088
Toxanomy
Taxonomy Code 207VE0102X
License State Idaho
License Number M8614
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According to our database, Idaho Center For Reproductive Medicine Pc NPI is 1063551174, taxonomy code is 207VE0102X and license number is M8614, license state is located at Idaho. Idaho Center For Reproductive Medicine Pc physically located at 111 Main St, Boise ID, 83702-7307. NPI Number 1033115704 has the healthcare provider type.

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1063551174 NPI number is provided on an as is basis without warranty of any kind. 1063551174 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Center For Reproductive Medicine Pc are for informational purposes only.