Individual
DR. DANIEL CLARK ABENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9TH FLOOR -- NEUROSCIENCES, 190 E BANNOCK ST., BOISE, ID 83712-8905
(208) 381-7335
Mailing address
9TH FLOOR -- NEUROSCIENCES, 190 E BANNOCK ST., BOISE, ID 83712-8905
(208) 381-7335
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
M-13696
ID
2084V0102X
Vascular Neurology Physician
Primary
M-13696
ID
Other
Enumeration date
04/12/2012
Last updated
04/08/2019
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