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Individual

MR. RORY STEPHEN O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
500 W FORT ST, # 111, BOISE, ID 83702
(208) 422-1325
(208) 422-1319
Mailing address
500 W FORT ST, # 111, BOISE, ID 83702
(208) 422-1325
(208) 422-1319

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-770
ID

Other

Enumeration date
09/25/2008
Last updated
08/25/2022
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