Medical Directors of Idaho PLLC
Medical Directors of Idaho PLLC is an Internal Medicine Physician in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
404 N Horton StNampa, ID 83651-6541
Phone: (208) 466-9292
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence M-10968 (ID) |
|---|
Record details
| NPI number | 1710392410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Williams — Responsible Party/Representative · (502) 544-1780 |
| NPI enumerated | June 23, 2014 |
| Last updated in NPPES | May 16, 2023 |
| Certification date | May 16, 2023 |
| Mailing address | Po Box 44527, Boise, ID 83711-0527 |
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