Individual
BONNIE KIM WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., CHARTERED
Contact information
Practice address
1216 GARRITY BLVD, NAMPA, ID 83687-8368
(208) 343-6458
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-7308
ID
Other
Enumeration date
09/15/2005
Last updated
12/13/2022
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