Individual
DR. THOMAS JOHN ORTHMEYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6375
Mailing address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O-1193
ID
Other
Enumeration date
04/20/2015
Last updated
05/21/2019
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