Organization
TREASURE VALLEY OCCUPATIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J CHICOINE MD (OWNER)
(208) 375-1105
Entity
Organization
Contact information
Practice address
8800 W EMERALD ST STE 196, BOISE, ID 83704-8205
(208) 375-1105
(208) 377-7707
Mailing address
8800 W EMERALD ST STE 196, BOISE, ID 83704-8205
(208) 375-1105
(208) 377-7707
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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