DECLAN P O'RIORDAN

BOISE, ID
NPI1629016043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: ID  M9130)
Enumeration Date2006-06-04
Last Update Date2012-09-11
Business Address
-- DECLAN P O'RIORDAN MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
Mailing Address
-- DECLAN P O'RIORDAN MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
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