Individual
CHARLES E EIRIKSSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E JEFFRESON, STE 101, BOISE, ID 83712
(208) 336-4141
(208) 336-4035
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M4580
ID
Other
Enumeration date
05/20/2006
Last updated
03/28/2011
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