Organization
DINU G MISTRY MD PA
Active
Organization
DINU G MISTRY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINU MISTRY MD (OWNER)
(208) 342-8180
Entity
Organization
Contact information
Practice address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-8180
(208) 342-7034
Mailing address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-8180
(208) 342-7034
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
M8327
ID
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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