Organization · Type 2 NPI
Boise Image Enhancement Centre, Inc.
General Practice Physician · Boise, ID
NPI number
1487926564
Active
Practice location
9382 W Overland Rd
Boise, ID 83709-2505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | M4612 (ID) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1487926564
Boise Image Enhancement Centre, Inc.'s National Provider Identifier is 1487926564, issued on Feb 3, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boise, ID. The record was last updated on Feb 3, 2012.