Individual
ANTHONY DINALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1072 N LIBERTY ST STE 201, BOISE, ID 83704-8708
(208) 302-2400
(208) 302-2455
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M-15847
ID
208600000X
Surgery Physician
ME137221
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
M-15847
ID
Other
Enumeration date
04/20/2012
Last updated
11/13/2025
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