NPI | 1215061734 |
---|---|
Doing Business As | BOISE VALLEY ASTHMA AND ALLERGY CLINIC |
Entity Type | Organization |
Authorized Contact | MARYANN WAUGH Insurance Administrator 208-378-0080 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2007-03-15 |
Last Update Date | 2022-10-21 |