GLEN S LOVELACE MD PA

BOISE, ID
NPI1023053204
Entity TypeOrganization
Authorized ContactGLEN S LOVELACE
Owner
208-345-3136
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  M6570)
Enumeration Date2006-06-19
Last Update Date2009-06-01
Business Address
GLEN S LOVELACE MD PA
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136
Mailing Address
GLEN S LOVELACE MD PA
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136
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