FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA

BOISE, ID
NPI1740524701
Entity TypeOrganization
Authorized ContactGAIL M. EBERHARTER
President
208-863-1399
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M4631)
Enumeration Date2012-11-15
Last Update Date2015-01-29
Business Address
FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
3858 N GARDEN CENTER WAY SUITE 100
BOISE, ID 83703-5008
Phone number: 208-385-7711
Mailing Address
FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
2905 W JORDAN ST
BOISE, ID 83702-2134
Phone number: 208-863-1399
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