Individual
DR. BIRGITT LUCILLE DAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 E IDAHO ST, SUITE 203, BOISE, ID 83712-6212
(208) 388-0148
(208) 336-4027
Mailing address
125 E IDAHO ST, SUITE 203, BOISE, ID 83712-6212
(208) 388-0148
(208) 336-4027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96267
CA
207RI0200X
Infectious Disease Physician
Primary
M-11392
ID
Other
Enumeration date
03/05/2007
Last updated
08/18/2011
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