Individual
CHRISTINE LEA EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1075 N CURTIS RD STE 101, BOISE, ID 83706
(208) 302-2800
(208) 302-2825
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(208) 302-2800
(208) 302-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.063695
IL
2086S0129X
Vascular Surgery Physician
Primary
M-15068
ID
Other
Enumeration date
07/31/2013
Last updated
07/30/2020
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