Organization
NORTHWEST OSTEOSCREENING
Active
Other names
NW Health & OsteoScreening
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BONNA BENNION (PRESIDENT)
(208) 378-4584
Entity
Organization
Contact information
Practice address
9238 W BEACHSIDE LN, BOISE, ID 83714-6712
(208) 378-4584
(208) 376-3831
Mailing address
9238 W BEACHSIDE LN, BOISE, ID 83714-6712
(208) 378-4584
(208) 376-3831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D1010458
ID
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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