Allergy Clinic - Idaho, Inc.

NPI #1295730208 in Boise, Idaho

Provider Information

NPI Number
1295730208
Entity Type
Organization
Organization Name
Allergy Clinic - Idaho, Inc.
Primary Specialty
Legal Medicine
Enumeration Date
Jun 16, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
727 E RIVERPARK LN
Address 2
STE 100
City
Boise
State
Idaho
ZIP Code
83706-4097
Phone
(208) 388-8900

Authorized Official

Name
DAVID BLACKMER
Title
PRESIDENT
Phone
(208) 388-8900

Specialties & Taxonomy Codes

Specialty
Legal Medicine

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