Individual
MR. BENJAMIN NATHAN BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-4030
Mailing address
2820 DILL DR, BOISE, ID 83705-4164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP535A
ID
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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