Organization
ALLERGY CLINIC - IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMER (PRESIDENT)
(208) 388-8900
Entity
Organization
Contact information
Practice address
727 E RIVERPARK LN, STE 100, BOISE, ID 83706-4097
(208) 388-8900
(208) 388-8907
Mailing address
727 E RIVERPARK LN, STE 100, BOISE, ID 83706-4097
(208) 388-8900
(208) 388-8907
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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