Boise Minor Emergency Center PA

NPI #1114938909 in Boise, Idaho

Provider Information

NPI Number
1114938909
Entity Type
Organization
Organization Name
Boise Minor Emergency Center PA
Primary Specialty
General Practice
Enumeration Date
Aug 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2993 N COLE RD
City
Boise
State
Idaho
ZIP Code
83704-5977
Phone
(208) 378-0400

Authorized Official

Name
DR. GARY CANOVA, MD
Title
OWNER
Phone
(208) 378-0400

Specialties & Taxonomy Codes

Specialty
General Practice

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