SANDOVAL CENTER FOR MEDICINE, CHARTERED

BOISE, ID
NPI1306025036
Entity TypeOrganization
Authorized ContactJESSE SANDOVAL
President
208-333-1472
Organization Subpart ?No
Primary Taxonomy202K00000X 
(Licence: ID  O-124)
Enumeration Date2007-10-30
Last Update Date2008-03-11
Business Address
SANDOVAL CENTER FOR MEDICINE, CHARTERED
1199 SHORELINE LN STE. 310
BOISE, ID 83702-6813
Phone number: 208-333-1472
Mailing Address
SANDOVAL CENTER FOR MEDICINE, CHARTERED
PO BOX 7130
BOISE, ID 83707-1130
Phone number: 208-333-1472