KURT WIEBOLD

BOISE, ID
NPI1215690474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2143)
Enumeration Date2021-10-14
Last Update Date2024-01-17
Business Address
KURT WIEBOLD PA
6140 W CURTISIAN AVE STE 400
BOISE, ID 83704-8907
Phone number: 208-327-5600
Mailing Address
KURT WIEBOLD PA
6140 W CURTISIAN AVE STE 400
BOISE, ID 83704-8907
Phone number: 208-327-5600
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