ANTHONY DINALLO
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1205193760- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1072 N LIBERTY ST STE 201, BOISE, ID, 837048708
- Phone
- (208) 302-2400
- Fax
- (208) 302-2455
Specialties & Taxonomies
Surgery
License: ID #M-15847
Colon & Rectal Surgery
Primary License: ID #m-15847
Surgery
License: FL #ME137221