Individual
KATIE JEANNETTE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD2025-0771
NM
207Q00000X
Family Medicine Physician
Primary
MRM-2157
ID
Other
Enumeration date
05/11/2022
Last updated
02/11/2026
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