ANTHONY DINALLO

BOISE, ID
NPI1205193760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: ID  M-15847)
Additional Taxonomies208600000X Surgery
(Licence: FL  ME137221)
Enumeration Date2012-04-20
Last Update Date2024-01-16
Business Address
ANTHONY DINALLO
1072 N LIBERTY ST STE 201
BOISE, ID 83704-8708
Phone number: 208-302-2400
Mailing Address
ANTHONY DINALLO
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170