Individual
JUSTICE ORANEFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 322-1680
(208) 385-7708
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M-17593
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2016
Last updated
06/25/2024
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