Individual
DANIELLE ORCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
1783 N MANSFIELD WAY, EAGLE, ID 83616-6679
(208) 871-3482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-12209
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2011
Last updated
05/09/2015
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