Individual
HEIDI R MUNRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Mailing address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA159
ID
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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