Organization
PRACTICE PROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RONNING (BILLING/CREDENTIALING MANAGER)
(208) 230-5849
Entity
Organization
Contact information
Practice address
2674 N ARROWWOOD WAY, MERIDIAN, ID 83646-4406
(208) 284-0473
Mailing address
2674 N ARROWWOOD WAY, MERIDIAN, ID 83646-4406
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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