Individual
MAGNI HAMSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1314
Mailing address
3232 W ELDER ST, BOISE, ID 83705-4711
(208) 344-3512
(208) 334-5747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-12511
ID
Other
Enumeration date
08/01/2011
Last updated
02/25/2022
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