Individual
DR. COLVIN GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST # 111R, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1536
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MRM-2364
ID
Other
Enumeration date
03/18/2024
Last updated
06/15/2024
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