Most Relevant Information
Provider Data
| NPI Number: | 1003323858 |
| Provider Name: | SOPHIE TOBECK CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | 57704 |
Most Important Dates
| Enumeration Date: | 01/02/2018 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
207 W WASHINGTON ST
BOISE
ID
837025941
Practice Location Phone/Fax
| Phone: | 2083432079 |
| Fax: | 2083436828 |
Provider Mailing Location
207 W WASHINGTON ST
BOISE
ID
837025941
Provider Mailing Phone/Fax
| Phone: | 2083432079 |
| Fax: | 2083436828 |