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1073545703
MARC WAYNE BOSTICK
BOISE, ID
NPI
1073545703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID M7712)
Enumeration Date
2006-07-06
Last Update Date
2021-04-16
Business Address
Dr. MARC WAYNE BOSTICK MD
413 ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-323-1125
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Mailing Address
Dr. MARC WAYNE BOSTICK MD
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-954-5594
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