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Individual

MICHAEL L HENBEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Mailing address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M5080
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010004343
REGENCE BLUE SHIELD
ID
05
002603900
ID
01
13
WA DEPARTMENT OF LABOR
WA
01
198077
OMAP
OR
01
202653500
US DEPARTMENT OF LABOR
01
74302
BLUE CROSS OF IDAHO
ID
Enumeration date
07/21/2006
Last updated
05/25/2008
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