Treasure Valley Colon & Rectal Clinic PLLC
Treasure Valley Colon & Rectal Clinic PLLC is a Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1072 N Liberty St Ste 201Boise, ID 83704-8706
Phone: (208) 377-2273
Fax: (208) 367-3059
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Colon & Rectal Surgery Physician (primary) | Taxonomy 208C00000X · Licence M11186 (ID) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence M11186 (ID) |
Record details
| NPI number | 1316243371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Johnny Green — President · (208) 377-2273 |
| NPI enumerated | February 8, 2011 |
| Last updated in NPPES | March 22, 2011 |
| Mailing address | 1072 N Liberty St, Suite 201, Boise, ID 83704-8706 |
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