Organization
BOISE IMAGE ENHANCEMENT CENTRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SCHNEBLY (CEO)
(208) 375-1221
Entity
Organization
Contact information
Practice address
9382 W OVERLAND RD, BOISE, ID 83709-2505
(208) 375-1221
Mailing address
9382 W OVERLAND RD, BOISE, ID 83709-2505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
M4612
ID
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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