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Organization

NICOLE THURSTON, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRICIA STERLING (REIMBURSMENT SUPERVISOR)
(208) 323-1125
Entity
Organization

Contact information

Practice address
413 ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-1905
Mailing address
413 ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-1905

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-10117
ID

Other

Enumeration date
11/18/2008
Last updated
11/18/2008
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