Individual
DARYL A. REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S EAGLE RD STE 1241, MERIDIAN, ID 83642-6355
(208) 381-6930
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8749
(805) 683-3400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
145506
CA
208600000X
Surgery Physician
Primary
M-17146
ID
208600000X
Surgery Physician
MD60196920
WA
Other
Enumeration date
05/14/2007
Last updated
05/08/2023
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