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1366607996
RETINA SPECIALISTS OF IDAHO, PLLC
BOISE, ID
NPI
1366607996
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Entity Type
Organization
Authorized Contact
DENTON R. ROBERTS
Owner
208-938-5624
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M-10066)
Enumeration Date
2008-07-23
Last Update Date
2012-04-10
Business Address
RETINA SPECIALISTS OF IDAHO, PLLC
13923 W WAINWRIGHT DR SUITE 301
BOISE, ID 83713-1969
Phone number: 208-938-5624
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Mailing Address
RETINA SPECIALISTS OF IDAHO, PLLC
13923 W WAINWRIGHT DR SUITE 301
BOISE, ID 83713-1969
Phone number: 208-398-5624
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