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Individual

DR. ROBERTO V. BARRESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3399 E LOUISE DR, STE 400, MERIDIAN, ID 83642-5047
(208) 364-3000
(208) 364-3191
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M8489
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806343400
ID
Enumeration date
05/15/2006
Last updated
07/24/2013
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