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Organization

IDAHO GYN/ONCOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IONA DYE MD (BILLING MANAGER)
(208) 381-4171
Entity
Organization

Contact information

Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-4171
(208) 381-4172
Mailing address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-4171
(208) 381-4172

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
08/23/2007
Last updated
03/03/2008
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