Renee O. Bild, Pllc

NPI 1174916969 - Clinic/Center - 261QM0801X

NPI Details
NPI 1174916969
Enumeration Date 03/18/2015
Last Updated 03/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RENEE RENEE
Position OWNER
Phone (208) 336-3031
Fax (208) 336-3228
Practice Location
1718 W JEFFERSON ST
BOISE ID, 83702-3949, US
Phone (208) 336-3031
Fax (208) 336-3228
Business Location
1718 W JEFFERSON ST
BOISE ID, 83702-3949, US
Phone (208) 336-3031
Fax (208) 336-3228
Toxanomy
Taxonomy Code 261QM0801X
License State Idaho
License Number 1338
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According to our database, Renee O. Bild, Pllc NPI is 1174916969, taxonomy code is 261QM0801X and license number is 1338, license state is located at Idaho. Renee O. Bild, Pllc physically located at 1718 W Jefferson St, Boise ID, 83702-3949. NPI Number 1033115704 has the healthcare provider type.

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1174916969 NPI number is provided on an as is basis without warranty of any kind. 1174916969 is maintained by the National Plan & Provider Enumeration System. The contents of Renee O. Bild, Pllc are for informational purposes only.