Individual
MICHEAL JOHN ADCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N 1ST ST, SUITE 140, BOISE, ID 83702-6100
(208) 381-9026
(208) 381-9027
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M-6054
ID
Other
Enumeration date
05/20/2006
Last updated
09/15/2022
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