Individual
KATHERINE M LAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
311 W IDAHO ST, BOISE, ID 83702-6040
(208) 888-2080
(208) 888-4296
Mailing address
311 W IDAHO ST, BOISE, ID 83702-6040
(208) 888-2080
(208) 888-4296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA666
ID
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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