NPI 1104851401

Patricia Antoinette Dock, BSMSMS

Practitioner Genetic Counselor (M.S.) Boise, ID

Practice location

Address: 6200 West Emerald Street, Boise, ID 83704
Phone: (208) 367-7740
Fax: (208) 367-3390

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence 2005070 (ID)

Other Genetic Counselor, MS providers in Idaho →

Registry record

NPI: 1104851401
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2006
Record last updated: 27 Mar 2012

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.