Provider First Line Business Practice Location Address:
6000 W. OVERLAND ROAD
Provider Second Line Business Practice Location Address:
FIRSTLINE MEDICAL
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-323-7588
Provider Business Practice Location Address Fax Number:
206-202-8007
Provider Enumeration Date:
07/30/2008