THERESA WEILAND DO PA

BOISE, ID
NPI1366616716
Entity TypeOrganization
Authorized ContactSTEVEN CSIK
Corp Secretary
208-333-8841
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-119)
Enumeration Date2008-04-16
Last Update Date2008-04-16
Business Address
THERESA WEILAND DO PA
222 N 2ND ST SUITE 201
BOISE, ID 83702-6109
Phone number: 208-345-7727
Mailing Address
THERESA WEILAND DO PA
2245 TOLUKA WAY
BOISE, ID 83712-8552
Phone number:
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