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Individual

TIMOTHY MAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5513 N GLENWOOD ST, BOISE, ID 83714-1334
(208) 375-6600
(208) 375-7558
Mailing address
5513 N GLENWOOD ST, BOISE, ID 83714-1334
(208) 375-6600
(208) 375-7558

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-3643
ID

Other

Enumeration date
07/11/2014
Last updated
01/19/2023
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