Idaho Gastroenterology Associates, Llp

NPI 1265427256 - Internal Medicine - 207RG0100X

NPI Details
NPI 1265427256
Enumeration Date 09/15/2005
Last Updated 07/13/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RICHARD F RICHARD
Position PRESIDENT
Phone (208) 343-1702
Fax (208) 342-7042
Practice Location
425 W BANNOCK ST
BOISE ID, 83702-6035, US
Phone (208) 343-1702
Fax (208) 342-7042
Business Location
425 W BANNOCK ST
BOISE ID, 83702-6035, US
Phone (208) 343-1702
Fax (208) 342-7042
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
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According to our database, Idaho Gastroenterology Associates, Llp NPI is 1265427256, taxonomy code is 207RG0100X Idaho Gastroenterology Associates, Llp physically located at 425 W Bannock St, Boise ID, 83702-6035. NPI Number 1033115704 has the healthcare provider type.

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1265427256 NPI number is provided on an as is basis without warranty of any kind. 1265427256 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Gastroenterology Associates, Llp are for informational purposes only.