Individual
MARCOS DACCARETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E JEFFERSON ST, STE 101, BOISE, ID 83712-6246
(208) 336-4141
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M11330
ID
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-11330
ID
Other
Enumeration date
02/23/2007
Last updated
08/31/2022
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