Search › Idaho › 103T00000X
J. Michael Dennis, PHD
NPI 1326084492 · on the registry since 2006
Practice
- Address
- 311 N. Allumbaugh St.
Boise, ID 83704 - Phone
- (208) 375-6402
- Fax
- (208) 323-1850
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho