Individual
GREGORY SCOTT HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
9548 W CHADWICK DR, BOISE, ID 83704-2219
(208) 631-0563
(208) 350-6806
Mailing address
9548 W CHADWICK DR, BOISE, ID 83704-2219
(208) 631-0563
(208) 350-6806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1051A
ID
Other
Enumeration date
01/12/2011
Last updated
04/18/2011
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