Individual
DR. MELODY K DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
203 W FORT ST, BOISE, ID 83702-4528
(208) 377-0908
(208) 377-2396
Mailing address
203 W FORT ST, BOISE, ID 83702-4528
(208) 377-0908
(208) 377-2396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
099
ID
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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