NPI 1497211148

Treasure Valley Occupational Medicine

Organisation Occupational Medicine Physician Boise, ID

Practice location

Address: 8800 W Emerald St STE 196, Boise, ID 83704-8205
Phone: (208) 375-1105
Fax: (208) 377-7707

Authorised official

Name: Kevin J Chicoine
Title: Owner
Phone: (208) 375-1105

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

Other Preventive Medicine providers in Idaho →

Registry record

NPI: 1497211148
Entity type: Organization
NPI issued: 19 Feb 2019
Record last updated: 19 Feb 2019

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.