| Nomsiri Group Inc | |
|
950 W Bannock St Suite 1100 Boise ID 83702-5999 | |
| (208) 319-3587 | |
| Not Available |
| Full Name | Nomsiri Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 950 W Bannock St, Boise, Idaho |
| Authorized Official Name and Position | Isara Nomsiri (OWNER/PRESIDENT) |
| Authorized Official Contact | 2083193587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nomsiri Group Inc 950 W Bannock St Suite 1100 Boise ID 83702-5999 Ph: (208) 319-3587 | Nomsiri Group Inc 950 W Bannock St Suite 1100 Boise ID 83702-5999 Ph: (208) 319-3587 |
| NPI Number | 1639481286 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 07/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639481286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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