Individual
IVAN ARTURO MARTINEZ AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-2000
(208) 302-2055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO.3200
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2018
Last updated
03/11/2025
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