Individual
DR. MICHAEL RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704-0107
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-0000
(208) 302-0055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-12863
ID
207UN0901X
Nuclear Cardiology Physician
M-12863
ID
Other
Enumeration date
08/07/2008
Last updated
11/12/2019
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