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Neurology Physician

NPI: 1710516026IndividualAccepts Medicare

Specialties, Licenses & Credentials

Psychiatry & Neurology — Neurology

Code: 2084N0400X

1981204(ID)1710516026(CT)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryNEUROLOGY

Education

UNIVERSITY OF UTAH SCHOOL OF MEDICINE

Class of 2020

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Contact & Hours

Address
190 E BANNOCK ST
BOISE, ID 83712

Quick Facts

NPI
1710516026
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
6

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