Organization
WOMAN'S CLINIC
Active
Other names
The Woman's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY SCHIRER (ADMINISTRATOR)
(208) 345-5250
Entity
Organization
Contact information
Practice address
100 E IDAHO ST, SUITE 400, BOISE, ID 83712-6223
(208) 345-5250
(208) 345-2364
Mailing address
100 E IDAHO ST, SUITE 400, BOISE, ID 83712-6223
(208) 345-5250
(208) 345-2364
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006595
REGENCE BLUE SHIELD OF IDAHO
ID
05
—
002533400
—
ID
05
—
805114800
—
ID
01
—
89516
BLUE CROSS OF IDAHO
ID
Enumeration date
07/13/2006
Last updated
04/25/2008
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