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1821048364
DAVID C NIELSEN
BOISE, ID
NPI
1821048364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M6851)
Enumeration Date
2006-05-12
Last Update Date
2014-01-23
Business Address
-- DAVID C NIELSEN MD
4840 N CLOVERDALE RD
BOISE, ID 83713-2423
Phone number: 208-706-8000
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Mailing Address
-- DAVID C NIELSEN MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-8000
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