Individual
DR. ALEX BRENT WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(808) 258-3029
Mailing address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(808) 258-3029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TL - 4011
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2010
Last updated
02/03/2023
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