SKY R BLUE

BOISE, ID
NPI1659365575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: ID  M7398)
Enumeration Date2005-09-07
Last Update Date2007-07-08
Business Address
-- SKY R BLUE M.D.
125 E IDAHO ST SUITE 203
BOISE, ID 83712-6212
Phone number: 208-338-0148
Mailing Address
-- SKY R BLUE M.D.
125 E IDAHO ST SUITE 203
BOISE, ID 83712-6212
Phone number: 208-338-0148
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