Individual
JAMIA E. BYRNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13960 W WAINWRIGHT DR, BOISE, ID 83713-1969
(208) 947-5390
(208) 947-3465
Mailing address
2632 SE 5TH WAY, MERIDIAN, ID 83642-7411
(845) 596-9473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071764A
IN
207R00000X
Internal Medicine Physician
M-10603
ID
208M00000X
Hospitalist Physician
01071764A
IN
208M00000X
Hospitalist Physician
Primary
M-10603
ID
Other
Enumeration date
11/15/2005
Last updated
11/20/2012
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