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Individual

DR. WARREN HUNTER LOONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6052 W STATE ST, BOISE, ID 83703-2739
(208) 344-7799
(208) 344-7152
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-15960
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063671584
TYPE I NATIONAL PROVIDER IDENTIFIER
01
1588081053
TYPE II NATIONAL PROVIDER IDENTIFIER
Enumeration date
06/09/2008
Last updated
03/04/2025
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