Idaho
Ada
Boise
Otolaryngology
surrendered
A25855
male
1972
medical activities:
patient care - 40+ hours
license issued on March 13, 1974;Primary specialty: urology
Ear, Nose and Throat
Specialist for: Otolaryngology
Indiana University School of Medicine (graduated in 1972)
5 YEARS of post graduate training
Graduated in year 1972, Medical School: In University School of Medicine, Indianapolis, IN 46202
Saint Luke's Magic Valley Medical Center
St. Luke's Boise Medical Center
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Profile ID: FRUS-MDS-P-140134