Individual
CRAIG MORIWAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
5418 N EAGLE RD, SUITE 120, BOISE, ID 83713-0998
(208) 938-3334
(208) 938-3335
Mailing address
5418 N EAGLE RD, SUITE 120, BOISE, ID 83713-0998
(208) 938-3334
(208) 938-3335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT322
ID
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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