Organization
ENNIS ENDOCRINOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FRANK ENNIS M.D. (PHYSICIAN)
(208) 994-8180
Entity
Organization
Contact information
Practice address
2450 E GALA ST STE 100, MERIDIAN, ID 83642-4805
(208) 994-8180
(208) 908-4542
Mailing address
2498 W TIMBER DR, EAGLE, ID 83616-4665
(208) 994-8180
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M-11309
ID
Other
Enumeration date
01/08/2013
Last updated
04/09/2020
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