SearchIdaho1223E0200X

Larue Bluth, D.M.D

NPI 1396961157 · on the registry since 2007

Practice

Address
5244 N Eagle Rd
Boise, ID 83713
Phone
(208) 890-4980

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-09

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