Individual
PAUL PHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4971 W OVERLAND RD, BOISE, ID 83705-2822
(208) 378-4288
(208) 378-4297
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-1399
(208) 985-1399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-1051
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/25/2014
Last updated
10/11/2019
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