Individual
MR. GEOFF SCOTT CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
2158 W ROOT CREEK ST, MERIDIAN, ID 83646-4676
(208) 608-3957
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
LRT-1775
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LRT-1775
IDAHO BOARD OF MEDICINE
ID
Enumeration date
05/14/2020
Last updated
05/14/2020
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