Individual
MR. JOHN HENRY DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
11842 W LEWISBURG CT, BOISE, ID 83709-1100
(208) 286-2005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76225
ID
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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