Individual
DR. JOHN J MOHR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 TERRA DR, BOISE, ID 83709-3835
(208) 362-1015
Mailing address
3301 TERRA DR, BOISE, ID 83709-3835
(208) 362-1015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2918
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004608
—
ID
Enumeration date
05/22/2006
Last updated
07/08/2007
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