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NPI Provider: 1295730208
Contact Name: Blackmer David
Position: President
Phone: (208) 388-8900
Allergy Clinic - Idaho, Inc. Information:
Allergy Clinic - Idaho, Inc. organization have npi 1295730208, taxonomy code is 173000000X with license number is MD25562 in . This Business address located in 727 E Riverpark Ln, Boise, ID 83706 Idaho. Get directions of Allergy Clinic - Idaho, Inc..
Practice Location
Address: 727 E Riverpark Ln, Boise, ID 83706
Phone: (208) 388-8900
Business Location
Address: 727 E Riverpark Ln, Boise, ID 83706
Phone: (208) 388-8900
Fax: (208) 388-8907
Taxonomy
Taxonomy Code: 173000000X
License Number: MD25562
License Number of State: TN
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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