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BOISE FAMILY MEDICINE CENTER

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Company Details

Name: BOISE FAMILY MEDICINE CENTER
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 03 Mar 2006 (19 years ago)
Entity Number: 300770
Place of Formation: IDAHO
File Number: 0000300770
ZIP code: 83709
County: Ada County
Mailing Address: 8901 TARP LANE BOISE, ID 83709

National Provider Identifier

NPI Number:
1376747790

Authorized Person:

Name:
DR. DALE L MOCK
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2083224691

Filing

Filing Name Filing Number Filing date
Initial Filing 0000300770 2006-03-03

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State