Individual
DR. JAMES J CRUZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 ALBION ST, BOISE, ID 83705-1324
(208) 343-5583
Mailing address
PO BOX 1052, BOISE, ID 83701-1052
(208) 327-9500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M6203
ID
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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