Individual
DR. ALEJANDRO J NECOCHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0066240
MD
207R00000X
Internal Medicine Physician
Primary
M11308
ID
207R00000X
Internal Medicine Physician
MT183942
PA
Other
Enumeration date
12/21/2006
Last updated
01/04/2012
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