MS. Susan Wildwood, GCFT
MS. Susan Wildwood, GCFT is a Specialist in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
2533 N 26th StBoise, ID 83702-0308
Phone: (208) 433-8365
Fax: (208) 343-3756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1114184652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | GCFT |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | April 6, 2009 |
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