Organization
IDAHO NEUROLOGY PLLC
Active
Organization
IDAHO NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SWANSON MD (OWNER)
(406) 274-2295
Entity
Organization
Contact information
Practice address
901 N CURTIS RD, SUITE 101, BOISE, ID 83706-1338
(208) 608-5825
(208) 287-3690
Mailing address
2825 FORT MISSOULA RD STE 121, MISSOULA, MT 59804-7403
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M11896
ID
Other
Enumeration date
05/08/2013
Last updated
06/05/2019
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