Individual
LOUIS D VOULELIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 336-0895
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6712
ID
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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