Organization
JOHN M LIVINGSTON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M LIVINGSTON MD (OWNER)
(208) 853-3051
Entity
Organization
Contact information
Practice address
8756 W EMERALD ST, SUITE 136, BOISE, ID 83704-4831
(208) 853-3051
(208) 853-3053
Mailing address
8756 W EMERALD ST, SUITE 136, BOISE, ID 83704-4831
(208) 853-3051
(208) 853-3053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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