Individual
DR. DELRAY MAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713-5028
(208) 938-5823
(208) 938-5306
Mailing address
13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713-5028
(208) 938-5823
(208) 938-5306
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M4908
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002592700
—
ID
Enumeration date
11/29/2005
Last updated
08/09/2019
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