Individual
KEVIN MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W MAIN ST STE 100, BOISE, ID 83702-7307
(208) 342-5900
(208) 342-2088
Mailing address
111 W MAIN ST STE 100, BOISE, ID 83702-7307
(208) 342-5900
(208) 342-2088
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
M-12424
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2007
Last updated
05/13/2015
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