Individual
DR. TROY J BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E JEFFERSON ST STE 101, BOISE, ID 83712-6221
(208) 322-1680
(208) 322-1695
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
7470084-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
M-12866
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831335660
—
ID
Enumeration date
12/29/2008
Last updated
08/28/2023
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