Irvin E Sackman JR., MD

NPI #1003919473 in Boise, Idaho

Provider Information

NPI Number: 1003919473
Entity Type: Individual
Name: Irvin E Sackman JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 7, 2006
Last Updated: Aug 19, 2012

Practice Location

Address: 130 E BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706
Phone: (208) 345-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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