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Individual

DR. CHRISTOPHER B HIROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 N. CURTIS RD, STE 503, BOISE, ID 83706-1343
(208) 367-3330
(208) 337-1003
Mailing address
3340 E. GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-8600
(208) 367-5180

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42650
CO
207X00000X
Orthopaedic Surgery Physician
Primary
M-10746
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47370572
CO
05
808406100
ID
Enumeration date
04/05/2006
Last updated
09/21/2009
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