Individual
DR. JOE MARIE FRANZ LLENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 FAIRVIEW AVE STE 230, CALDWELL, ID 83605-5432
(208) 459-4667
(208) 459-3372
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10752
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808443000
—
ID
Enumeration date
05/21/2008
Last updated
01/27/2022
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