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Gem State Radiology Llp
Vascular Surgery Physician in Boise, Idaho
NPI 1124258611

Gem State Radiology Llp is a Vascular Surgery Physician based in Boise, ID and is specialized in Vascular Surgery. Gem State Radiology Llp practices in Boise, ID. The NPI Number for Gem State Radiology Llp is 1124258611 and holds a License No. (Idaho).

The current practice location address for Gem State Radiology Llp is 927 W Myrtle St Ste B, Boise, ID and can be reached out via phone at 208-947-0100 and via fax at 208-384-9023.

Location: 927 W Myrtle St Ste B, Boise, ID, 83702-5883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124258611
Provider Name
Gem State Radiology Llp
Credential
Provider Entity Type
Organization
Address
927 W Myrtle St Ste B, Boise, ID, 83702-5883
Phone Number
208-947-0100
Fax Number
208-384-9023
Provider Enumeration Date
07/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805368800 05 ID
institution
Provider Business Practice Location Address Details
Address
927 W Myrtle St Ste B
City
Boise
State
Idaho
Zip
83702-7061
Phone Number
208-947-0100
Fax Number
208-384-9023
person
Provider Business Mailing Address Details
Address
927 W Myrtle St Ste B
City
Boise
State
Idaho
Zip
83702-7061
Phone Number
208-947-0100
Fax Number
208-384-9023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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