Organization
JULIE A CONYERS, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A CONYERS MD (OWNER)
(208) 947-7100
Entity
Organization
Contact information
Practice address
300 W MAIN ST, SUITE 100, BOISE, ID 83702-7700
(208) 947-7100
Mailing address
300 W MAIN ST, SUITE 100, BOISE, ID 83702-7700
(208) 947-7100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M8325
ID
Other
Enumeration date
07/20/2008
Last updated
10/14/2008
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