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PENELOPE DARELL BARNES

Individual Provider (NPI-1) Active

Internal Medicine, Infectious Disease

Provider Information

NPI Number
1518042340
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
5966 W CURTISIAN AVE, BOISE, ID, 837048801
Phone
(208) 302-5480
Fax
(208) 302-5455

Specialties & Taxonomies

Internal Medicine, Infectious Disease Primary License: ID #MC-2512
Internal Medicine, Infectious Disease License: WA #MD00042437

All Addresses

MAILING

PO BOX 190930

BOISE, ID, 837190930

LOCATION

5966 W CURTISIAN AVE

BOISE, ID, 837048801

(208) 302-5480