GLENN C BOTHWELL

BOISE, ID
NPI1235183054
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: ID  M3165)
Enumeration Date2006-05-19
Last Update Date2011-02-16
Business Address
-- GLENN C BOTHWELL MD
703 S AMERICANA BLVD
BOISE, ID 83702-5099
Phone number: 208-706-7500
Mailing Address
-- GLENN C BOTHWELL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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