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Individual

DR. BILL TAYLOR TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
408 22ND AVE S, NAMPA, ID 83651-5424
(208) 866-5365
(208) 939-8801
Mailing address
PO BOX 44450, BOISE, ID 83711-0450
(208) 322-1001
(208) 939-8801

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-5594
ID
2084P0804X
Child & Adolescent Psychiatry Physician
M-5594
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002034500
ID
Enumeration date
08/04/2006
Last updated
07/15/2011
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