Organization
BBC SILVERSTONE LLC
Active
Other names
Lyra Total Breast Health
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN WHITE MD (MD/PARTNER)
(208) 214-4466
Entity
Organization
Contact information
Practice address
1144 S SILVERSTONE WAY STE 160, MERIDIAN, ID 83642-8854
(248) 515-9101
(208) 464-9734
Mailing address
PO BOX 4886, BOISE, ID 83711-4886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
11/28/2023
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