# DENNIS J PAGE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BodyLogicMD of Boise
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750608105
- **Authorized official:** DENNIS PAGE M.D. (DIRECTOR)
- **Authorized official phone:** (877) 552-7884

## Contact information

- **Practice address:** 445 S FITNESS PL, SUITE B, EAGLE, ID 83616-6828
- **Practice address phone:** (877) 552-7884
- **Practice address fax:** (877) 552-7885
- **Mailing address:** 445 S FITNESS PL, SUITE B, EAGLE, ID 83616-6828
- **Mailing address phone:** (877) 552-7884
- **Mailing address fax:** (877) 552-7885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M-6970 | ID | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010