Individual
DAN S ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-2711
(208) 381-4025
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2709
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
M10165
ID
Other
Enumeration date
12/07/2005
Last updated
09/20/2012
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