| Ratus Ip | |
|
303 N Allumbaugh St Boise ID 83704-9208 | |
| (208) 288-2280 | |
| (208) 288-1544 |
| Full Name | Ratus Ip |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 303 N Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Katie Gillies (ADMINISTRATOR) |
| Authorized Official Contact | 2088885848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ratus Ip 2321 E Gala St Ste 3 Meridian ID 83642-7692 Ph: (208) 288-2280 | Ratus Ip 303 N Allumbaugh St Boise ID 83704-9208 Ph: (208) 288-2280 |
| NPI Number | 1891315644 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 09/08/2023 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891315644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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