Individual
KARA N SAPERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S EAGLE RD, STE 2204, MERIDIAN, ID 83642
(208) 381-6196
(208) 381-6199
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
5764044-1205
UT
208800000X
Urology Physician
Primary
M-10322
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396931010
—
ID
Enumeration date
09/16/2007
Last updated
02/03/2015
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