MICHELE B EBBERS

BOISE, ID
NPI1154358067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2088P0231X 
(Licence: ID  M11717)
Additional Taxonomies208800000X Urology
(Licence: NC  2006-00886)
Enumeration Date2006-06-27
Last Update Date2019-08-29
Business Address
MICHELE B EBBERS MD
305 E JEFFERSON ST
BOISE, ID 83712-6273
Phone number: 208-381-6196
Mailing Address
MICHELE B EBBERS MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222