Organization
RONALD S HIGGINBOTHAM, DO PA
Active
Other names
Boise Osteopathic Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY E HUMMEL (OFFICE MANAGER)
(208) 376-2522
Entity
Organization
Contact information
Practice address
7685 W EMERALD ST, BOISE, ID 83704-9018
(208) 376-2522
(208) 375-5860
Mailing address
7685 W EMERALD ST, BOISE, ID 83704-9018
(208) 376-2522
(208) 375-5860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-50
ID
Other
Enumeration date
02/04/2007
Last updated
04/09/2015
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