Individual
MS. TARA ERBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6651 W FRANKLIN RD, BOISE, ID 83709-0914
(208) 810-2244
Mailing address
PO BOX 45179, BOISE, ID 83711-5179
(208) 810-2244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10307
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427081744
—
ID
Enumeration date
07/09/2006
Last updated
02/18/2017
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