B R BOEHMER MD PA

BURLEY, ID
NPI1447565627
Entity TypeOrganization
Authorized ContactBERNARD R BOEHMER
Owner
208-878-2271
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: ID  M6848)
Enumeration Date2010-08-12
Last Update Date2010-08-12