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Organization

ERIC GILBREATH MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRICIA STERLING (ACCOUNTS MANAGER)
(208) 323-1125
Entity
Organization

Contact information

Practice address
413 ALLUMBAUGH ST, STE 101, BOISE, ID 83704-9212
(208) 323-1125
Mailing address
413 ALLUMBAUGH ST, STE 101, BOISE, ID 83704-9212
(208) 323-1125

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
M8740
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806527400
ID
Enumeration date
12/10/2008
Last updated
12/10/2008
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