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1063462075
GARY J MILLWARD
BOISE, ID
NPI
1063462075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: ID P145)
Enumeration Date
2006-05-11
Last Update Date
2014-02-04
Business Address
Dr. GARY J MILLWARD DPM
6051 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-938-4670
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Mailing Address
Dr. GARY J MILLWARD DPM
190 E BANNOCK
BOISE, ID 83712-6241
Phone number: 208-381-2222
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