Idaho
Ada
Boise
Family Medicine
canceled
A23524
male
1968
medical activities:
administration - 40+ hours
license issued on September 19, 1969;Primary specialty: other medical practice
Secondary specialty: public health & general preventive
Preventive Medicine
Specialist for: Preventive Medicine
Languages: spanish
Ethnic background: caucasian/white/european/middle eastern
University of California San Francisco School of Medicine (graduated in 1968)
5 YEARS of post graduate training
Graduated in year 1968, Medical School: University of Ca, San Francisco, School of Medicine, San Francisco, CA 94143
Saint Alphonsus Regional Medical Center
St. Luke's Boise Medical Center
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Profile ID: FRUS-MDS-P-188464