Individual
STEVEN J LOVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W STATE ST, BOISE, ID 83702-6127
(208) 336-0895
Mailing address
111 W STATE ST, BOISE, ID 83702-6127
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6189
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6189
IDAHO STATE LICENSE #
ID
Enumeration date
05/23/2006
Last updated
07/08/2007
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