TAYLOR K BOETTIGER

BOISE, ID
NPI1902036361
Former NameTAYLOR K CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M11528)
Additional Taxonomies208M00000X Hospitalist
(Licence: ID  M11528)
Enumeration Date2009-07-20
Last Update Date2012-12-29
Business Address
-- TAYLOR K BOETTIGER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
-- TAYLOR K BOETTIGER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222