Individual
DR. J. CHRIS CHRISTOPHER KANTARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WARM SPRINGS AVE, STE B, BOISE, ID 83712-6243
(208) 381-6930
(208) 381-6931
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M524
ID
208C00000X
Colon & Rectal Surgery Physician
Primary
M524
ID
Other
Enumeration date
07/19/2005
Last updated
10/30/2013
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