POURAN POUNEH ALIZADEH

NAMPA, ID
NPI1831579085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: ID  O-1818)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CO  CDRH.0059471)
207V00000X Obstetrics & Gynecology
(Licence: DE  C2-0024269)
207V00000X Obstetrics & Gynecology
(Licence: CO  DR.0059471)
Enumeration Date2015-06-03
Last Update Date2024-01-18
Business Address
POURAN POUNEH ALIZADEH D.O.
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-381-2267
Mailing Address
POURAN POUNEH ALIZADEH D.O.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: