PETER BENSON KOZISEK

BOISE, ID
NPI1659319085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M6942)
Enumeration Date2006-06-04
Last Update Date2011-03-16
Business Address
Dr. PETER BENSON KOZISEK M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
Dr. PETER BENSON KOZISEK M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: