in Boise - Critical Care Medicine

- NPI 1053521203

is a Critical Care Medicine in Boise, Idaho. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1053521203. The last update date is .

's current location address is 190 E Bannock St, Boise, Idaho. You can contact this provider via phone number 2083812222. The mailing address for is 190 E Bannock St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 190 E Bannock St, Boise, Idaho
Phone Number 2083812222
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1053521203
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 190 E Bannock St
City Boise
State Idaho (ID)
Post Code 837126241
Phone Number 2083812222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No M11223
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

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