Individual
DIANE MCCONNEHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6650 W EMERALD ST, BOISE, ID 83704-8738
(208) 323-5625
Mailing address
888 N COLE RD, BOISE, ID 83704-8638
(208) 323-5580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O208
ID
Other
Enumeration date
06/03/2006
Last updated
01/22/2014
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