Individual
CAITLIN MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6507
NE
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M-13029
ID
Other
Enumeration date
06/10/2011
Last updated
02/14/2023
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