MICHAEL MODICA

BOISE, ID
NPI1295926061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  251042)
Enumeration Date2007-08-07
Last Update Date2014-04-28
Business Address
Dr. MICHAEL MODICA M.D.
877 W MAIN ST SUITE 603
BOISE, ID 83702-5883
Phone number: 208-367-2161
Mailing Address
Dr. MICHAEL MODICA M.D.
877 W MAIN ST SUITE 603
BOISE, ID 83702-5883
Phone number: 208-367-2161
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