TERRY KELLER

BOISE, ID
NPI1508810631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M4584)
Enumeration Date2006-05-22
Last Update Date2007-07-08
Business Address
-- TERRY KELLER
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895
Mailing Address
-- TERRY KELLER
111 W STATE ST
BOISE, ID 83702-6127
Phone number: 208-336-0895