Organization
SINUS CENTER - IDAHO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BOYAJIAN MD (PRESIDENT)
(208) 433-9300
Entity
Organization
Contact information
Practice address
727 E RIVERPARK LN, STE 200, BOISE, ID 83706-4097
(208) 433-9300
(208) 433-9854
Mailing address
727 E RIVERPARK LN, STE 200, BOISE, ID 83706-4097
(208) 433-9300
(208) 433-9854
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8069720000
—
ID
Enumeration date
06/16/2005
Last updated
08/22/2020
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