Individual
DR. COLEEN D HULBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3101 E STATE ST, STE 1100, EAGLE, ID 83616-6232
(208) 473-3500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M11814
ID
207Q00000X
Family Medicine Physician
TRN13814
FL
Other
Enumeration date
05/18/2009
Last updated
01/23/2014
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