MICHAEL L MART

BOISE, ID
NPI1598861379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA77)
Enumeration Date2006-09-16
Last Update Date2017-03-07
Business Address
MR. MICHAEL L MART PAC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-7500
Mailing Address
MR. MICHAEL L MART PAC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-7500
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