Individual
JULIE A. FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 N LIBERTY ST STE 201, BOISE, ID 83704-8707
(208) 367-6740
(208) 367-6742
Mailing address
PO BOX 4143, BOISE, ID 83711-4143
(208) 367-6740
(208) 367-6742
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M 6551
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002744100
—
ID
01
—
75960
BLUE CROSS OF IDAHO
ID
Enumeration date
08/09/2006
Last updated
07/03/2014
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