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Organization
RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
Active
Organization
RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENTON R. ROBERTS MD (MANAGING PARTNER)
(208) 938-5624
Entity
Organization
Contact information
Practice address
13923 W WAINWRIGHT DR, SUITE 301, BOISE, ID 83713-1969
(208) 938-5624
(208) 938-5764
Mailing address
13923 W WAINWRIGHT DR, SUITE 301, BOISE, ID 83713-1969
(208) 938-5624
(208) 938-5764
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
10/14/2019
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