MOUNTAIN STATES ONCOLOGY GROUP

BOISE, ID
NPI1205093739
Entity TypeOrganization
Authorized ContactJONI SULLIVAN
Business Administrator
208-343-3223
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2008-05-21
Last Update Date2008-05-21
Business Address
MOUNTAIN STATES ONCOLOGY GROUP
210 W JEFFERSON ST
BOISE, ID 83702-6044
Phone number: 208-343-3223
Mailing Address
MOUNTAIN STATES ONCOLOGY GROUP
PO BOX 1809
BOISE, ID 83701-1809
Phone number: 208-343-3223
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