Individual
DR. LAURA TEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1072 N LIBERTY ST STE 100, BOISE, ID 83704-8708
(208) 302-1200
(208) 302-1255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-14695
ID
Other
Enumeration date
04/06/2015
Last updated
03/20/2024
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