Individual
MR. STEVEN M. GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1880 JUDITH LANE, BOISE, ID 83705-3185
(208) 367-6910
(208) 367-6140
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8738
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-7049
ID
207Q00000X
Family Medicine Physician
M7049
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003702400
—
ID
Enumeration date
03/30/2006
Last updated
02/27/2015
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