Individual
WILLIAM CHRISTOPHER EGOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 W CURTISIAN AVE STE 200, BOISE, ID 83704-0107
(208) 302-0000
(208) 302-0055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704303974
MI
363L00000X
Nurse Practitioner
Primary
77436
ID
Other
Enumeration date
04/25/2021
Last updated
12/11/2023
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