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Dr. Geoffry De Gennaro JR., MD
Diagnostic Radiology Physician in Boise, Idaho
NPI 1336554740

Geoffry De Gennaro JR. is a Diagnostic Radiology Physician based in Boise, ID and is specialized in Diagnostic Radiology. Geoffry De Gennaro JR. practices in Boise, ID and has the professional credentials of MD. The NPI Number for Geoffry De Gennaro JR. is 1336554740 and holds a License No. 4301105483 (Idaho).

The current practice location address for Geoffry De Gennaro JR. is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-2094.

Location: 190 E Bannock St, Boise, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336554740
Provider Name
Geoffry De Gennaro JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-2094
Fax Number
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2094
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-2094
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301105483 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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