George Jacob Rosenbaum, DIPL. AC., LAC.

NPI #1205429693 in Boise, Idaho

Provider Information

NPI Number: 1205429693
Entity Type: Individual
Name: George Jacob Rosenbaum, DIPL. AC., LAC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: DIPL. AC., LAC.
Enumeration Date: Feb 16, 2021
Last Updated: Feb 16, 2021

Practice Location

Address: 10074 W FAIRVIEW AVE STE 150
City: Boise
State: Idaho
ZIP Code: 83704-5002
Phone: (540) 878-6041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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