Individual
TAYLOR LEIGH SIMMONS-RICHELIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 FOREST ST, MCCALL, ID 83638-5256
(208) 634-2225
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-17194
ID
Other
Enumeration date
03/30/2020
Last updated
10/30/2024
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