Individual
ROBERT J TEEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2367
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8104
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M4197
ID
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
M4197
ID
Other
Enumeration date
06/02/2006
Last updated
09/11/2025
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