Individual
WILLIAM TERRY GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10455 JAY RD, BOISE, ID 83714-9775
(208) 866-1634
(208) 939-8277
Mailing address
10455 JAY RD, BOISE, ID 83714-9775
(208) 866-1634
(208) 939-8277
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-5771
ID
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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