Individual
SARAH L BOLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 343-3223
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M7540
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805288700
—
ID
Enumeration date
08/21/2006
Last updated
01/31/2014
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