NPI 1093117905

Twain Josephson

Practitioner Specialist Boise, ID

Practice location

Address: 1100 N Cole Rd, Boise, ID 83704-8644
Phone: (208) 375-3500
Mailing address: 3140 S El Rio Dr, Meridian, ID 83642-6747

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MASG-1767 (ID)

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Registry record

NPI: 1093117905
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2014
Record last updated: 23 Sep 2014

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.