Individual
DR. MARIO A CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 W MYRTLE ST STE 200, BOISE, ID 83702-6975
(208) 706-6375
(208) 706-6395
Mailing address
1109 W MYRTLE ST STE 200, BOISE, ID 83702-6975
(208) 706-6375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9071762
ID
2084P0800X
Psychiatry Physician
MD2020-0322
NM
2084P0800X
Psychiatry Physician
RS2016-0466
NM
Other
Enumeration date
06/27/2016
Last updated
02/12/2026
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