Individual
JAY BURKE RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU. D.
Contact information
Practice address
1084 N COLE RD, BOISE, ID 83704-8642
(208) 377-0019
(208) 377-0313
Mailing address
1084 N COLE RD, BOISE, ID 83704-8642
(208) 377-0019
(208) 377-0313
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD2464
ID
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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