Organization · Type 2 NPI

Mountain States Oncology Group

Specialist · Boise, ID

NPI number 1386750859 Active

Practice location

100 E Idaho St
Boise, ID 83712-6223

Mailing address

PO Box 1809
Boise, ID 83701-1809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386750859

Mountain States Oncology Group's National Provider Identifier is 1386750859, issued on Aug 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.