Individual
STEVE SADICARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M9027
ID
208M00000X
Hospitalist Physician
Primary
M9027
ID
Other
Enumeration date
05/18/2006
Last updated
09/14/2012
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