Individual
DENTON R ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13923 W WAINWRIGHT DR, SUITE 301, BOISE, ID 83713-1969
(208) 938-5624
(208) 938-5764
Mailing address
13923 W. WAINWRIGHT DR., SUITE 301, BOISE, ID 83713-1969
(208) 938-5624
(208) 938-5764
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M-10066
ID
Other
Enumeration date
03/02/2006
Last updated
04/10/2012
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