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Individual

DOUGLAS H ORCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10787 WEST USTICK, BOISE, ID 83713
(208) 378-8011
(208) 378-8095
Mailing address
10787 USTICK RD, BOISE, ID 83713-5104
(208) 378-8011
(208) 378-8095

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3795
ID

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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