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1932845849
BENJAMIN T SHOWALTER
BOISE, ID
NPI
1932845849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-2160)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
BENJAMIN T SHOWALTER MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
BENJAMIN T SHOWALTER MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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