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Individual

DAVID PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 338-1796
Mailing address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 338-1796

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27384
ID

Other

Enumeration date
12/24/2014
Last updated
12/24/2014
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