Individual
MARNIE R RIRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1636 HADLEY AVE., BOISE, ID 83709
(208) 258-2078
(208) 258-2079
Mailing address
1636 S HADLEY AVE, BOISE, ID 83709-2684
(208) 209-7898
(208) 258-2079
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M-9342
ID
207R00000X
Internal Medicine Physician
M9342
ID
Other
Enumeration date
05/15/2006
Last updated
01/22/2019
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