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Individual

DR. EINAV SHOCHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
190 E BANNOCK, BOISE, ID 83712
(208) 381-2094
(208) 381-1791
Mailing address
115 W MAIN STREET, STE 202, BOISE, ID 83702
(208) 433-9466
(208) 433-1149

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-11316
ID
2085R0202X
Diagnostic Radiology Physician
Primary
M11316
ID
2085R0202X
Diagnostic Radiology Physician
MD151138
OR

Other

Enumeration date
05/22/2007
Last updated
10/26/2011
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