Sparkmd

NPI #1427443613 in Boise, Idaho

Provider Information

NPI Number
1427443613
Entity Type
Organization
Organization Name
Sparkmd
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 3, 2015
Last Updated
Apr 21, 2015

Practice Location

Address
302 W IDAHO ST
City
Boise
State
Idaho
ZIP Code
83702-6039
Phone
(208) 369-4590

Authorized Official

Name
DR. JULIE KRISTEN GUNTHER, MD, FAAFP
Title
OWNER, PHYSICIAN
Phone
(208) 369-4590

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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