ST MICHAEL NEPHROLOGY, PLLC

BOISE, ID
NPI1144887050
Doing Business AsST MIKES NEPH
Entity TypeOrganization
Authorized ContactERNEST DANIEL MORENO DYTIAPCO
Nephrologist
986-200-8202
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2019-05-26
Last Update Date2019-07-14
Business Address
ST MICHAEL NEPHROLOGY, PLLC
1674 S LOGGERS POND PL APT 14
BOISE, ID 83706-7517
Phone number: 986-200-8202
Mailing Address
ST MICHAEL NEPHROLOGY, PLLC
999 W MAIN ST STE 100
BOISE, ID 83702-9001
Phone number: