Steven J Fonken, MD

NPI #1063437630 in Boise, Idaho

Provider Information

NPI Number: 1063437630
Entity Type: Individual
Name: Steven J Fonken, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Cardiovascular Disease
Credential: MD
Enumeration Date: Jul 13, 2006
Last Updated: Mar 1, 2022

Practice Location

Address: 500 W. FORT ST
Address 2: # 111
City: Boise
State: Idaho
ZIP Code: 83702
Phone: (208) 422-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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