Organization
MEDICAL DIRECTORS OF IDAHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAMS MD (RESPONSIBLE PARTY/REPRESENTATIVE)
(502) 544-1780
Entity
Organization
Contact information
Practice address
404 N HORTON ST, NAMPA, ID 83651-6541
(208) 466-9292
Mailing address
PO BOX 44527, BOISE, ID 83711-0527
(208) 384-9022
(208) 947-3465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-10968
ID
Other
Enumeration date
06/23/2014
Last updated
05/16/2023
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