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1740303734
KELLY ROGERS SHOWALTER
BOISE, ID
NPI
1740303734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M6579)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
-- KELLY ROGERS SHOWALTER MD
121 E FORT ST
BOISE, ID 83712-6322
Phone number: 208-381-1780
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Mailing Address
-- KELLY ROGERS SHOWALTER MD
121 E. FORT STREET
BOISE, ID 83712
Phone number: 208-381-1780
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