FUNCTIONAL MEDICINE OF IDAHO PC

BOISE, ID
NPI1336656040
Entity TypeOrganization
Authorized ContactSAMUEL JAMES WARREN
President
208-385-7711
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2018-01-03
Last Update Date2018-01-03
Business Address
FUNCTIONAL MEDICINE OF IDAHO PC
3858 N GARDEN CENTER WAY STE 100
BOISE, ID 83703-5008
Phone number: 208-385-7711
Mailing Address
FUNCTIONAL MEDICINE OF IDAHO PC
3858 N GARDEN CENTER WAY STE 100
BOISE, ID 83703-5008
Phone number: 208-385-7711
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