Organization
NINON GERMAIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON DUNBAR (REIMBURSEMENT MANAGER)
(208) 323-1125
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M8955
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1550780
PTAN
ID
Enumeration date
10/05/2010
Last updated
12/27/2010
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