CODY J SCRIVNER

BOISE, ID
NPI1134671894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
Mr. CODY J SCRIVNER PA-C
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
Mailing Address
Mr. CODY J SCRIVNER PA-C
10798 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-377-3368
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