Dr. KERRIANN BOANCA MD
Individual Provider (NPI-1)
Active
Internal Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1477181543- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 600 N ROBBINS RD STE 100, BOISE, ID, 837024539
- Phone
- (208) 381-1615
- Fax
- (208) 381-5141
Specialties & Taxonomies
Internal Medicine, Hospice and Palliative Medicine
Primary License: ID #3271773
Internal Medicine, Hospice and Palliative Medicine
License: DC #MD210011692
Internal Medicine
License: OR #PG205706
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241