Individual
CICILEY T. FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-5170
(208) 367-5180
Mailing address
PO BOX 7411114, CHICAGO, IL 60674-1114
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11885579-1205
UT
207L00000X
Anesthesiology Physician
Primary
M-17241
ID
207R00000X
Internal Medicine Physician
MRM-1799
ID
Other
Enumeration date
03/31/2019
Last updated
10/02/2023
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