Individual
CARLA ALESSANDRA APEZZATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W FORT ST, 111R, BOISE, ID 83702
(208) 422-1314
Mailing address
3786 S PIMMIT AVE, BOISE, ID 83706-6417
(208) 391-8587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14297
ID
Other
Enumeration date
03/31/2015
Last updated
07/28/2018
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