Individual
MICHAEL B ALDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 12TH AVE RD STE 200, NAMPA, ID 83686-6008
(208) 302-6800
(208) 302-6855
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(082) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20376
AZ
208000000X
Pediatrics Physician
Primary
M9890
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8077516
—
ID
Enumeration date
02/03/2006
Last updated
03/14/2024
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