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Individual

DR. BENJAMIN M TIPPETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 E IDAHO ST, SUITE 200, BOISE, ID 83712-6267
(208) 381-7011
(208) 381-9013
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
O0573
ID

Other

Enumeration date
08/15/2007
Last updated
08/21/2012
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