Organization
OPTIMAL HEATLH MEDICAL INSTITURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH M SUTHERLIN D.O. (OWNER/PHYSICIAN)
(208) 495-3688
Entity
Organization
Contact information
Practice address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 495-3688
(208) 475-4924
Mailing address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 495-3688
(208) 475-4924
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0-264
ID
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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