Individual
BECKY SUE KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
(208) 375-2658
Mailing address
3301 N SAWGRASS WAY, BOISE, ID 83704-4493
(208) 375-0862
(208) 375-2658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M13220
ID
Other
Enumeration date
06/30/2011
Last updated
04/27/2020
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