Individual
DR. WADE WILLIS MUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A175960
CA
208800000X
Urology Physician
Primary
M-16844
ID
Other
Enumeration date
03/21/2017
Last updated
02/28/2024
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