| NPI | 1215061734 |
|---|---|
| Doing Business As | BOISE VALLEY ASTHMA AND ALLERGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARYANN WAUGH Insurance/Credentialing Admin 208-378-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-06-13 |