Ms. ERIN FENNERN
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1295175008- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 100 E IDAHO ST STE 316, BOISE, ID, 837126269
- Phone
- (208) 381-9350
- Fax
- (208) 381-9351
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Colon & Rectal Surgery
Primary License: ID #M-17325
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241