Individual
DR. JUAN CARLOS DELATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 W FORT ST, CRH 2ND FLOOR, BOISE, ID 83702-4535
(084) 221-0182
Mailing address
444 W FORT ST, CRH 2ND FLOOR, BOISE, ID 83702-4535
(084) 221-0182
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0056617
MD
Other
Enumeration date
03/31/2008
Last updated
12/04/2023
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