Individual
DIANA C ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7000
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
M10045
ID
Other
Enumeration date
06/22/2006
Last updated
09/11/2012
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