Organization
CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T. WECHSLER M.D, PH.D. (OWNER)
(208) 275-8585
Entity
Organization
Contact information
Practice address
1499 W. HAYS ST., BOISE, ID 83702-1717
(208) 275-8585
(208) 275-8586
Mailing address
1499 W. HAYS ST., BOISE, ID 83702-1717
(208) 275-8585
(208) 275-8586
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M9221
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807254700
—
ID
Enumeration date
09/07/2012
Last updated
09/07/2012
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