MOUNTAIN STATES MEDICAL GROUP PA

BOISE, ID
NPI1730272006
Entity TypeOrganization
Authorized ContactRICHARD MCCHRYSTAL
President
208-378-2840
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-10-01
Last Update Date2008-09-15
Business Address
MOUNTAIN STATES MEDICAL GROUP PA
4809 FAIRVIEW AVENUE
BOISE, ID 83706-2242
Phone number: 208-378-2840
Mailing Address
MOUNTAIN STATES MEDICAL GROUP PA
PO BOX 4236
BOISE, ID 83711-4236
Phone number: 208-378-2840
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