Individual
BARBARA J TESNOHLIDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 336-0895
Mailing address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18754
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001277900
—
ID
01
—
006640003
REGENCE BCBSO
OR
05
—
061833
—
OR
Enumeration date
05/12/2006
Last updated
06/10/2011
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