Individual
DR. JAMES A WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-7033
(208) 342-7034
Mailing address
341 E BANNOCK ST, BOISE, ID 83712-6208
(208) 342-7033
(208) 342-7034
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
M8272
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8061001
—
ID
01
—
M8272
STATE MEDICAL LICENSE
ID
Enumeration date
06/17/2005
Last updated
04/03/2009
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