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1740239599
BOISE ANESTHESIA, PA
BOISE, ID
NPI
1740239599
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Entity Type
Organization
Authorized Contact
MATTHEW BRYAN FOWLER
President
208-367-6416
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: N/A)
Enumeration Date
2006-05-09
Last Update Date
2018-07-18
Business Address
BOISE ANESTHESIA, PA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
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Mailing Address
BOISE ANESTHESIA, PA
PO BOX 3750
SALT LAKE CITY, UT 84110-3750
Phone number: 800-945-9877
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