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Organization

KARIN LINDHOLM, D.O.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY NEY (BILLING MANAGER)
(208) 455-1400
Entity
Organization

Contact information

Practice address
901 N CURTIS RD STE 403, BOISE, ID 83706-1342
(208) 367-5857
Mailing address
901 N CURTIS RD STE 403, BOISE, ID 83706-1342
(208) 367-5857

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0-159
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010000939
BLUE SHIELD
ID
05
002457400
ID
01
S2426
BLUE CROSS
ID
Enumeration date
10/14/2008
Last updated
10/14/2008
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