Organization
SPARKMD
Active
Other names
sparkMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE KRISTEN GUNTHER MD, FAAFP (OWNER, PHYSICIAN)
(208) 369-4590
Entity
Organization
Contact information
Practice address
302 W IDAHO ST, BOISE, ID 83702-6039
(208) 369-4590
Mailing address
302 W IDAHO ST, BOISE, ID 83702-6039
(208) 369-4590
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M-10803
ID
Other
Enumeration date
04/03/2015
Last updated
04/21/2015
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