Individual
WILLIAM DENNIS LOOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W FORT ST, 111R, BOISE, ID 83702
(208) 422-1314
Mailing address
500 W FORT ST, BOISE, ID 83702-4599
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14289
ID
Other
Enumeration date
04/01/2015
Last updated
04/11/2020
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