Search › Idaho › 363AM0700X
Marina Sampogna, PA
NPI 1952627986 · on the registry since 2010
Practice
- Address
- 10255 W Overland Rd
Boise, ID 83709 - Phone
- (208) 302-5600
- Fax
- (208) 302-5655
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
363AM0700X - Licence states on file
- VA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-15
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