Ronald Reburn is a Other Specialist/Technologist based in Boise, ID. Ronald Reburn practices in Boise, ID. The NPI Number for Ronald Reburn is 1851017800 and holds a License No. (Idaho).
The current practice location address for Ronald Reburn is 500 W Fort St, Boise, ID and can be reached out via phone at 208-422-1000.
Location: 500 W Fort St, Boise, ID, 83702-4501
Provider Profile Details
NPI Number
1851017800
Provider Name
Ronald Reburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 W Fort St, Boise, ID, 83702-4501
Phone Number
208-422-1000
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
500 W Fort St
City
State
Zip
83702-4501
Phone Number
208-422-1000
Fax Number
Provider Business Mailing Address Details
Address
500 W Fort St
City
State
Zip
83702-4501
Phone Number
208-422-1000
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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