Individual
EMIR HADZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13239 W. FERNLEAF ST., BOISE, ID 83713
(208) 275-9522
(208) 461-0420
Mailing address
13239 W FERNLEAF ST, BOISE, ID 83713-1962
(208) 275-9522
(208) 461-0420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100421
ID
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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