REVOLUTIONARY MEDICINE OF IDAHO

BOISE, ID
NPI1487493292
Entity TypeOrganization
Authorized ContactJEFFREY D ROBBINS
Owner
208-871-0297
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2024-05-21
Last Update Date2024-05-21
Business Address
REVOLUTIONARY MEDICINE OF IDAHO
4776 N FIVE MILE RD STE 101
BOISE, ID 83713-2715
Phone number: 986-777-0278
Mailing Address
REVOLUTIONARY MEDICINE OF IDAHO
2536 CANYON RD S
MELBA, ID 83641-5258
Phone number: 208-871-0297
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