Individual
DR. CRAIG MATTHEW MARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7319 W STATE ST, BOISE, ID 83714-6051
(120) 885-3478
(120) 885-3478
Mailing address
7654 MADDEN DR, NAMPA, ID 83686-9425
(120) 846-5658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0-506
ID
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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