| Idaho Endocrinology, Pllc | |
|
403 S 11th St Suite 100 Boise ID 83702-6968 | |
| (208) 429-0300 | |
| (208) 429-0305 |
| Full Name | Idaho Endocrinology, Pllc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 403 S 11th St, Boise, Idaho |
| Authorized Official Name and Position | Richard B. Christensen (OWNER) |
| Authorized Official Contact | 2084290300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Endocrinology, Pllc 403 S 11th St Suite 100 Boise ID 83702-6968 Ph: (208) 429-0300 | Idaho Endocrinology, Pllc 403 S 11th St Suite 100 Boise ID 83702-6968 Ph: (208) 429-0300 |
| NPI Number | 1518165984 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518165984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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