Individual
MARC PAPANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(208) 302-5155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
32327
CA
363LF0000X
Family Nurse Practitioner
Primary
5271243
ID
Other
Enumeration date
06/27/2012
Last updated
03/13/2025
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