Mountain States Oncology Group
Mountain States Oncology Group is a Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
210 W Jefferson StBoise, ID 83702-6044
Phone: (208) 343-3223
Fax: (208) 343-3263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1205093739 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joni Sullivan — Business Administrator · (208) 343-3223 |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | Po Box 1809, Boise, ID 83701-1809 |
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