Keystone Center for Geriatrics LLC

NPI #1376211268 in Boise, Idaho

Provider Information

NPI Number: 1376211268
Entity Type: Organization
Organization Name: Keystone Center for Geriatrics LLC
Primary Specialty: Family Medicine - Geriatric Medicine
Enumeration Date: Sep 3, 2021
Last Updated: Sep 3, 2021

Practice Location

Address: 305 W BANNOCK ST
City: Boise
State: Idaho
ZIP Code: 83702-6033
Phone: (208) 514-0670

Authorized Official

Name: MR. LEONARD RICHARD JENSEN, FNP-C
Title: OWNER
Phone: (208) 514-0670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X	Primary

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