Individual
JAMES H WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E IDAHO ST, SUITE 300, BOISE, ID 83712-6212
(208) 381-7335
(208) 381-7227
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-10360
ID
Other
Enumeration date
09/20/2005
Last updated
08/21/2012
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