Organization · NPI-2

Apb Medical PC

Internal Medicine · Boise, ID

NPI number1346428919
StatusActive
Last updated in NPPESJun 26, 2012

Details

NPI
1346428919
Entity type
Organization (NPI-2)
Legal business name
Apb Medical PC
Organization subpart
No
Enumeration date
Feb 6, 2008
Last updated
Jun 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicinem5730IDYes

Practice location

222 N 2nd St Ste 304
Boise, ID 83702-6131

Phone 208-342-7792

Mailing address

222 N 2nd St Ste 304
Boise, ID 83702-6131

Phone 208-342-7792

Authorized official

Alice Blake
M.D.
2083427792

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