Individual
DR. KIRK A. CAMPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 375-0500
(208) 375-4310
Mailing address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 375-0500
(208) 375-4310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M-1176-1
ID
Other
Enumeration date
11/28/2005
Last updated
10/24/2014
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