CODY D HEINER

BOISE, ID
NPI1770790313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: ID  M10755)
Enumeration Date2007-05-16
Last Update Date2014-01-24
Business Address
-- CODY D HEINER MD
703 S AMERICANA BLVD
BOISE, ID 83702-5099
Phone number: 208-706-5445
Mailing Address
-- CODY D HEINER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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