Individual
JOSE MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 706-2663
Mailing address
8056 W SCARDALE CT, BOISE, ID 83704-0713
(208) 598-1788
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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