Individual
DANIEL PRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1072 N LIBERTY ST, STE 300, BOISE, ID 83704
(208) 302-2300
(208) 302-2900
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-2300
(208) 302-2900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H84622
MD
208600000X
Surgery Physician
Primary
O-1290
ID
390200000X
Student in an Organized Health Care Education/Training Program
26696205
NC
Other
Enumeration date
04/25/2012
Last updated
10/17/2019
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