MOUNTAIN STATES ONCOLOGY GROUP

BOISE, ID
NPI1386750859
Entity TypeOrganization
Authorized ContactJONI SULLIVAN
Business Adminstrator
208-343-3223
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2006-08-21
Last Update Date2020-08-22
Business Address
MOUNTAIN STATES ONCOLOGY GROUP
100 E IDAHO ST
BOISE, ID 83712-6223
Phone number: 208-343-3223
Mailing Address
MOUNTAIN STATES ONCOLOGY GROUP
PO BOX 1809
BOISE, ID 83701-1809
Phone number: 208-343-3223