Individual
MISA PERRON-BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S EAGLE RD STE 3209, MERIDIAN, ID 83642-6356
(208) 706-3220
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A112385
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
M-16679
ID
Other
Enumeration date
09/14/2010
Last updated
04/28/2026
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