MADELINE L KING

BOISE, ID
NPI1912375460
Former NameMADELINE L CONNLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1285)
Enumeration Date2015-09-14
Last Update Date2018-12-06
Business Address
MADELINE L KING PA
12273 W MCMILLAN RD
BOISE, ID 83713-0555
Phone number: 208-367-6330
Mailing Address
MADELINE L KING PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-5950
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