| Ct Clancy Md Llc | |
|
413 N Allumbaugh St Suite 101 Boise ID 83704-9212 | |
| (208) 323-1125 | |
| (208) 323-9604 |
| Full Name | Ct Clancy Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 413 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Alison Dunbar (BILLING MANAGER) |
| Authorized Official Contact | 2089545572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Clancy Md Llc 413 N Allumbaugh St Suite 101 Boise ID 83704-9212 Ph: (208) 323-1125 | Ct Clancy Md Llc 413 N Allumbaugh St Suite 101 Boise ID 83704-9212 Ph: (208) 323-1125 |
| NPI Number | 1558639971 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558639971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-11479 (Idaho) | Primary |
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