Boise Osteopathic Medical Clinic | |
7685 W Emerald St Boise ID 83704-9018 | |
(208) 376-2522 | |
(208) 375-5860 |
Full Name | Boise Osteopathic Medical Clinic |
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Speciality | Family Medicine |
Location | 7685 W Emerald St, Boise, Idaho |
Authorized Official Name and Position | Amy E Hummel (OFFICE MANAGER) |
Authorized Official Contact | 2083762522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boise Osteopathic Medical Clinic 7685 W Emerald St Boise ID 83704-9018 Ph: (208) 376-2522 | Boise Osteopathic Medical Clinic 7685 W Emerald St Boise ID 83704-9018 Ph: (208) 376-2522 |
NPI Number | 1306984943 |
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Provider Enumeration Date | 02/04/2007 |
Last Update Date | 04/09/2015 |
Identifier | Type | State | Issuer |
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1306984943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-50 (Idaho) | Primary |
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