IDAHO PEDIATRIC GASTROENTEROLOGY PA

BOISE, ID
NPI1780871467
Entity TypeOrganization
Authorized ContactHENRY R THOMPSON
President
208-381-7310
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  M7673)
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
IDAHO PEDIATRIC GASTROENTEROLOGY PA
100 E IDAHO ST SUITE 316
BOISE, ID 83712-6223
Phone number: 208-381-7310
Mailing Address
IDAHO PEDIATRIC GASTROENTEROLOGY PA
100 E IDAHO ST SUITE 316
BOISE, ID 83712-6223
Phone number: 208-381-7310
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