Individual
DR. GARY CANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2993 N COLE RD, BOISE, ID 83704-5977
(208) 378-0400
(208) 378-7529
Mailing address
2993 N COLE RD, BOISE, ID 83704-5977
(208) 378-0400
(208) 378-7529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4651
ID
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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