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Individual

ANDREW CRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12080 W. MCMILLAN ROAD, BOISE, ID 83713
(208) 375-4955
(208) 375-5568
Mailing address
190 E BANNOCK ST, BOISE, ID 83712

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7795
ID

Other

Enumeration date
05/16/2006
Last updated
07/20/2011
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