Boise Minor Emergency Center Pa | |
2993 N Cole Rd Boise ID 83704-5977 | |
(208) 378-0400 | |
(208) 378-7529 |
Full Name | Boise Minor Emergency Center Pa |
---|---|
Speciality | General Practice |
Location | 2993 N Cole Rd, Boise, Idaho |
Authorized Official Name and Position | Gary Canova (OWNER) |
Authorized Official Contact | 2083780400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boise Minor Emergency Center Pa 2993 N Cole Rd Boise ID 83704-5977 Ph: (208) 378-0400 | Boise Minor Emergency Center Pa 2993 N Cole Rd Boise ID 83704-5977 Ph: (208) 378-0400 |
NPI Number | 1114938909 |
---|---|
Provider Enumeration Date | 08/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114938909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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