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Individual

SCOTT RYAN CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 N RAYMOND ST, BOISE, ID 83704
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10817
ID

Other

Enumeration date
08/15/2008
Last updated
07/09/2019
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