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Individual

DIANA DICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9850 W ST LUKES DR STE 129, NAMPA, ID 83687-7912
(208) 205-7600
(208) 205-7603
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-970
ID
363A00000X
Physician Assistant
PA176262
OR

Other

Enumeration date
03/24/2013
Last updated
07/15/2025
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