Sue Didehban

NPI 1588918676 · on the registry since 2012 · sole proprietor

Practice

Address: 7447 W Emerald St Ste 105
Boise, ID 83704
Phone: (208) 322-1642
Fax: (208) 378-4179
Organisation at this address: Osc Group
Jfk Vision Pllc
Didehbans Limited
Clarity Eyecare Pc
Emerald Optics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-29

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