DIRK T CARLSON

BOISE, ID
NPI1508850140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: ID  M6506)
Enumeration Date2005-09-09
Last Update Date2011-03-04
Business Address
-- DIRK T CARLSON MD
100 E IDAHO ST SUITE 302
BOISE, ID 83712-6267
Phone number: 208-343-7501
Mailing Address
-- DIRK T CARLSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-343-7501
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