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1942211818
LARRY D SHOWALTER
BOISE, ID
NPI
1942211818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M-6652)
Enumeration Date
2006-08-10
Last Update Date
2012-08-19
Business Address
-- LARRY D SHOWALTER MD
600 N ROBBINS RD STE 100
BOISE, ID 83702-4566
Phone number: 208-383-0201
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Mailing Address
-- LARRY D SHOWALTER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-383-0201
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