Individual
THOMAS OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1000
Mailing address
353 W THORNBERRY DR, BOISE, ID 83702-1660
(208) 867-4062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
58083
TN
207P00000X
Emergency Medicine Physician
Primary
M-15301
ID
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
04/22/2016
Last updated
08/29/2024
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