COLIN SOARES

BOISE, ID
NPI1588757850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA505)
Enumeration Date2006-10-01
Last Update Date2012-12-11
Business Address
-- COLIN SOARES PA
6052 W STATE ST
BOISE, ID 83703-2739
Phone number: 208-344-7799
Mailing Address
-- COLIN SOARES PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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