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Individual

ELLEN B HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-8163
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010031134
BLUE SHIELD OF IDAHO
ID
01
286220
OREGON HEALTH AND WELFARE
ID
01
40550
BLUE CROSS OF IDAHO
ID
05
805933400
ID
01
P00055513
RAILROAD MEDICARE
ID
Enumeration date
09/20/2005
Last updated
02/15/2011
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