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Individual

DR. RICHARD EPES RAINEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
282 S MOBLEY LN, BOISE, ID 83712
(207) 620-6203
Mailing address
282 S MOBLEY LN, BOISE, ID 83712
(207) 620-6203

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101264959
VA
208000000X
Pediatrics Physician
5053872-1205
UT
208000000X
Pediatrics Physician
Primary
M-8153
ID

Other

Enumeration date
09/26/2007
Last updated
01/12/2022
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