Individual
DR. WILLIAM GUY WEPPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, MSO 111, BOISE, ID 83702-4501
(208) 422-1325
(208) 422-1319
Mailing address
1505 N 18TH ST, BOISE, ID 83702-2528
(208) 870-3072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11190
MT
207R00000X
Internal Medicine Physician
Primary
M-10887
ID
207R00000X
Internal Medicine Physician
M8854
ID
207R00000X
Internal Medicine Physician
MD00044043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4370WE
BLUE SHIELD VM
WA
Enumeration date
03/02/2007
Last updated
05/05/2022
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