Individual
MICHAEL J MYHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 MILLER ST, BOISE, ID 83702-6965
(208) 377-1969
(208) 377-1892
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8107
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M-5868
ID
Other
Enumeration date
06/17/2005
Last updated
11/15/2007
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