Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn R. Waite, MD

Individual provider Family Medicine Physician · NPI 1295742948

Dr. Glenn R. Waite, MD is a Family Medicine Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in California, Colorado, Idaho and Nevada.

Licensed in
CA, CO, ID, NV
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

232 S Whisperwood Way
Boise, ID 83709-4900
Phone: (208) 350-6450
Fax: (208) 350-6449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence M-11148 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 8577 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence A38237 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23679 (CO)
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X · Licence A38237 (CA)
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X · Licence 23679 (CO)
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X · Licence 8577 (NV)

Record details

NPI number1295742948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESJune 25, 2014

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