CARL T KOENEN

BOISE, ID
NPI1679769350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: ID  M2640)
Enumeration Date2007-09-17
Last Update Date2007-09-17
Business Address
-- CARL T KOENEN MD
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2152
Mailing Address
-- CARL T KOENEN MD
PO BOX 9589
BOISE, ID 83707-4589
Phone number: 208-472-8109