TARA S WHITAKER

BOISE, ID
NPI1134416647
Former NameTARA SIBERT PROCTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-11855)
Enumeration Date2011-07-05
Last Update Date2021-05-05
Business Address
TARA S WHITAKER MD
1520 W STATE ST SUITE 100
BOISE, ID 83702-4085
Phone number: 208-947-7700
Mailing Address
TARA S WHITAKER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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