Individual
JAMES W DARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 FOREST ST., MCCALL, ID 83638-1047
(208) 634-2225
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5329
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000624
BS PLMC
ID
01
—
000010000625
BS MVMC
ID
05
—
003664900
—
ID
01
—
080047434
RRMCR
ID
01
—
53298
BC PLMC
ID
01
—
D7399
BC MVMC
ID
Enumeration date
10/18/2006
Last updated
10/15/2012
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