Individual
DR. NICHOLAS ROBERT HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7350
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-14610
ID
208M00000X
Hospitalist Physician
35.141988
OH
208M00000X
Hospitalist Physician
M-14610
ID
Other
Enumeration date
03/22/2016
Last updated
11/03/2023
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