Individual
EDGAR SANABRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 5TH AVE W STE 1, JEROME, ID 83338-1871
(208) 814-9880
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5671468
ID
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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