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1891875712
ROGER G ROOS
BOISE, ID
NPI
1891875712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M6840)
Enumeration Date
2006-10-16
Last Update Date
2011-11-16
Business Address
ROGER G ROOS MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-4100
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Mailing Address
ROGER G ROOS MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-4100
Copy
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