TREASURE VALLEY COLON & RECTAL CLINIC PLLC
Organization (NPI-2)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1316243371- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1072 N LIBERTY ST SUITE 201, BOISE, ID, 837048706
- Phone
- (208) 377-2273
- Fax
- (208) 367-3059
Specialties & Taxonomies
Surgery
License: ID #M11186
Colon & Rectal Surgery
Primary License: ID #M11186