Organization
SAWTOOTH EPIDEMIOLOGY AND INFECTIOUS DISEASES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASI WYATT D.O. (PHYSICIAN/OWNER)
(208) 338-0148
Entity
Organization
Contact information
Practice address
125 E IDAHO ST STE 203, BOISE, ID 83712-6255
(208) 338-0148
(208) 336-4027
Mailing address
125 E IDAHO ST STE 203, BOISE, ID 83712-6255
(208) 338-0148
(208) 336-4027
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
04/03/2012
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