Individual
DALE J STRAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 N CURTIS RD, SUITE 415, BOISE, ID 83706-1334
(208) 367-7676
(208) 367-5595
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
M-10682
ID
2086S0129X
Vascular Surgery Physician
Primary
M-10682
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808579400
—
ID
Enumeration date
09/28/2006
Last updated
06/17/2014
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