Individual
CHRISTOPHER R COUNSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6651 W FRANKLIN RD, BOISE, ID 83709-0914
(208) 825-3007
Mailing address
648 S WOODHAVEN AVE, MERIDIAN, ID 83642-3538
(208) 440-3838
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58035
ID
Other
Enumeration date
03/02/2018
Last updated
10/02/2023
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