Optigenics Llc | |
1317 W River St Boise ID 83702-6857 | |
(208) 939-0100 | |
(208) 947-9925 |
Full Name | Optigenics Llc |
---|---|
Speciality | General Practice |
Location | 1317 W River St, Boise, Idaho |
Authorized Official Name and Position | Zane Sterling (OWNER) |
Authorized Official Contact | 2089390100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optigenics Llc 1317 W River St Boise ID 83702-6857 Ph: (208) 939-0100 | Optigenics Llc 1317 W River St Boise ID 83702-6857 Ph: (208) 939-0100 |
NPI Number | 1780987164 |
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Provider Enumeration Date | 12/07/2010 |
Last Update Date | 12/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780987164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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