Individual
GERARD ROBERT W. KLOMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
125 E IDAHO ST, SUITE 201, BOISE, ID 83712-6212
(208) 385-9330
Mailing address
125 E IDAHO ST, SUITE 201, BOISE, ID 83712-6212
(208) 385-9330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
M4660
ID
207VX0000X
Obstetrics Physician
M4660
ID
Other
Enumeration date
05/11/2006
Last updated
11/22/2010
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