MICHAEL ALLAN HALLSTROM

BOISE, ID
NPI1972950210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-05-17
Last Update Date2018-03-17
Business Address
MICHAEL ALLAN HALLSTROM PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
Mailing Address
MICHAEL ALLAN HALLSTROM PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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