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Organization

STRAIGHT EDGE PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MERRILL VELEZ MD (PSYCHIATRIST)
(208) 451-5413
Entity
Organization

Contact information

Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 451-5413
Mailing address
PO BOX 190703, BOISE, ID 83719-0703
(208) 451-5413

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/03/2025
Last updated
12/03/2025
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