Individual
MR. VICTOR DIMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3249 W BOLTON CT, EAGLE, ID 83616-6827
(208) 899-6262
Mailing address
3249 W BOLTON CT, EAGLE, ID 83616-6827
(208) 899-6262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60125
ID
363L00000X
Nurse Practitioner
XXXXX
ID
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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