| Theresa Weiland Do Pa | |
|
222 N 2nd St Suite 201 Boise ID 83702-6109 | |
| (208) 345-7727 | |
| (208) 345-4689 |
| Full Name | Theresa Weiland Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 222 N 2nd St, Boise, Idaho |
| Authorized Official Name and Position | Steven Csik (CORP SECRETARY) |
| Authorized Official Contact | 2083338841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Weiland Do Pa 2245 Toluka Way Boise ID 83712-8552 Ph: () - | Theresa Weiland Do Pa 222 N 2nd St Suite 201 Boise ID 83702-6109 Ph: (208) 345-7727 |
| NPI Number | 1366616716 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366616716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-119 (Idaho) | Primary |
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