Individual
TAYLOR LYNN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRO-2016
ID
207R00000X
Internal Medicine Physician
Primary
O-1991
ID
Other
Enumeration date
03/26/2021
Last updated
06/13/2024
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