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Organization

SPECIALTY CLINICS OF IDAHO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BOYAJIAN MD (OWNER)
(208) 433-9300
Entity
Organization

Contact information

Practice address
3085 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-3745
(208) 433-9300
(208) 433-9854
Mailing address
3085 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-3745
(208) 433-9300
(208) 433-9854

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
01/05/2007
Last updated
01/12/2022
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