J CLAYTON ROSCOE

BOISE, ID
NPI1871522086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M9164)
Enumeration Date2006-07-01
Last Update Date2018-11-07
Business Address
J CLAYTON ROSCOE M.D.
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-514-2510
Mailing Address
J CLAYTON ROSCOE M.D.
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
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