Individual
TOBIAS P GOPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N ROBBINS RD STE 400, BOISE, ID 83702-4566
(208) 706-2663
(208) 489-4300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8526
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M-11854
ID
Other
Enumeration date
06/21/2011
Last updated
02/02/2016
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