Organization
TREASURE VALLEY ENDOCRINOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A. FOOTE MD (ENDOCRINOLOGIST)
(208) 367-6740
Entity
Organization
Contact information
Practice address
900 N LIBERTY ST STE 201, BOISE, ID 83704-8707
(208) 367-6740
(208) 367-6742
Mailing address
PO BOX 4143, BOISE, ID 83711-4143
(208) 367-6740
(208) 367-6742
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M 6551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807326100
—
ID
Enumeration date
08/09/2006
Last updated
06/19/2008
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