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PAUL JOSEPH MONTALBANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M8076
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010029707
REGENCE BLUE SHIELD
ID
01
000010163125
REGENCE BLUE SHIELD TALUS
ID
01
0214271
WA DEPT OF LABOR
ID
01
128615500
US DEPARTMENT OF LABOR
05
1699793661
ID
01
288294
OMAP
OR
01
76747
BLUE CROSS OF IDAHO
ID
Enumeration date
07/18/2006
Last updated
05/09/2022
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