NPI 1386750859

Mountain States Oncology Group

Organisation Specialist Boise, ID

Practice location

Address: 100 E Idaho St, Boise, ID 83712-6223
Phone: (208) 343-3223
Mailing address: PO Box 1809, Boise, ID 83701-1809

Authorised official

Name: Joni Sullivan
Title: Business Adminstrator
Phone: (208) 343-3223

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Idaho →

Registry record

NPI: 1386750859
Entity type: Organization
NPI issued: 21 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.