BOISE DERMAESTHETICS, LLC

BOISE, ID
NPI1639117153
Former Legal Business NameMCCONNEHEY FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactCHERYL D LUNDY
Billing Manger
208-452-6794
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-06-04
Last Update Date2007-09-12
Business Address
BOISE DERMAESTHETICS, LLC
6126 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-323-6525
Mailing Address
BOISE DERMAESTHETICS, LLC
6126 W EMERALD ST
BOISE, ID 83704-8857
Phone number: 208-323-6525