Individual
DR. NICHOLAS MERRILL PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1110
(208) 847-0228
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1110
(208) 847-0228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M12921
ID
207V00000X
Obstetrics & Gynecology Physician
MT198975
PA
Other
Enumeration date
05/02/2011
Last updated
07/27/2022
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