Individual
MR. AUGUSTUS SCOTT PIETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
6560 W EMERALD ST STE 124, BOISE, ID 83704-8781
(208) 343-0112
(208) 323-9909
Mailing address
6560 W EMERALD ST STE 124, BOISE, ID 83704-8781
(208) 343-0112
(208) 323-9909
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-138
ID
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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