Organization
JEFFREY F HARTFORD MD
Active
Other names
NORTHVIEW MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI ANNE RAY MA (MANAGER)
(208) 376-8337
Entity
Organization
Contact information
Practice address
8324 W NORTHVIEW STE 101, BOISE, ID 83704
(208) 376-8337
(208) 376-8344
Mailing address
8324 W NORTHVIEW STE 101, BOISE, ID 83704
(208) 376-8337
(208) 376-8344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M5269
ID
207Q00000X
Family Medicine Physician
Primary
M5269
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003747400
—
ID
Enumeration date
06/12/2007
Last updated
03/13/2012
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