Individual
DR. PAUL DAVID SONNTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK, BOISE, ID 83712
(208) 381-2094
(208) 381-1791
Mailing address
115 W MAIN ST, #202, BOISE, ID 83702
(208) 433-9466
(208) 433-1149
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M11950
ID
Other
Enumeration date
07/24/2007
Last updated
07/07/2015
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