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1871522086
J CLAYTON ROSCOE
BOISE, ID
NPI
1871522086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M9164)
Enumeration Date
2006-07-01
Last Update Date
2018-11-07
Business Address
J CLAYTON ROSCOE M.D.
6565 W EMERALD ST
BOISE, ID 83704-8737
Phone number: 208-514-2510
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Mailing Address
J CLAYTON ROSCOE M.D.
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
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