Individual
PHILIP ERIC DAYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9850 W ST LUKES DR STE 320A, NAMPA, ID 83687-7912
(208) 706-3220
(208) 706-3221
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
34.014064
OH
207V00000X
Obstetrics & Gynecology Physician
34.014064
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
5861065
ID
Other
Enumeration date
03/22/2017
Last updated
08/08/2024
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