| Isara Group Inc. | |
|
702 W Idaho St Suite 1100 Boise ID 83702-8901 | |
| (208) 209-2308 | |
| Not Available |
| Full Name | Isara Group Inc. |
|---|---|
| Speciality | General Practice |
| Location | 702 W Idaho St, Boise, Idaho |
| Authorized Official Name and Position | Isara Nomsiri (OWNER/PRESIDENT) |
| Authorized Official Contact | 2082092308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isara Group Inc. 702 W Idaho St Suite 1100 Boise ID 83702-8901 Ph: (208) 209-2308 | Isara Group Inc. 702 W Idaho St Suite 1100 Boise ID 83702-8901 Ph: (208) 209-2308 |
| NPI Number | 1932411576 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932411576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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