GEOFFRY DE GENNARO

BOISE, ID
NPI1336554740
Other NameGEOFF DE GENNARO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M-15099)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301105483)
Enumeration Date2014-06-24
Last Update Date2020-07-23
Business Address
Dr. GEOFFRY DE GENNARO M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
Mailing Address
Dr. GEOFFRY DE GENNARO M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 616-391-3245