Mountain States Oncology Group
NPI #1205093739 in Boise, Idaho
Provider Information
- NPI Number
- 1205093739
- Entity Type
- Organization
- Organization Name
- Mountain States Oncology Group
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
Authorized Official
- Name
- JONI SULLIVAN
- Title
- BUSINESS ADMINISTRATOR
- Phone
- (208) 343-3223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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