Individual
DR. BENJAMIN JOSEPH MORRISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712
(208) 706-5850
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-5850
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M14183
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730441536
—
ID
Enumeration date
06/08/2012
Last updated
06/11/2018
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