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Individual

DR. JOSHUA NADOLNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M14690
ID
207R00000X
Internal Medicine Physician
M14690
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/06/2016
Last updated
03/28/2023
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