Idaho Dept Of Health & Welfare Amh Psr Boise

NPI 1205966157 - Clinic/Center - 261QM0801X

NPI Details
NPI 1205966157
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GINA GINA
Position PROGRAM MANAGER
Phone (208) 334-0894
Fax (208) 334-0804
Practice Location
1720 WESTGATE DR
SUITE B-1
BOISE ID, 83704-7164, US
Phone (208) 334-0894
Fax (208) 334-0804
Business Location
1720 WESTGATE DR
SUITE B-1
BOISE ID, 83704-7164, US
Phone (208) 334-0894
Fax (208) 334-0804
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1205966157 NPI Number
 

According to our database, Idaho Dept Of Health & Welfare Amh Psr Boise NPI is 1205966157, taxonomy code is 261QM0801X Idaho Dept Of Health & Welfare Amh Psr Boise physically located at 1720 Westgate Dr, Boise ID, 83704-7164. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1205966157 NPI number is provided on an as is basis without warranty of any kind. 1205966157 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare Amh Psr Boise are for informational purposes only.