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1003693961
RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP
BOISE, ID
NPI
1003693961
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Entity Type
Organization
Authorized Contact
JESSICA LONG
Co Owner
208-850-1940
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP
1673 W SHORELINE DR STE 100
BOISE, ID 83702-6749
Phone number: 208-593-3054
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Mailing Address
RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP
1673 W SHORELINE DR STE 100
BOISE, ID 83702-6749
Phone number:
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