Individual
MR. RICHARD AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 468-5930
(208) 463-3044
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M6315
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002634
BLUE SHIELD
ID
01
—
000010034806
BLUE SHIELD
ID
05
—
002362800
—
ID
01
—
45120
BLUE CROSS
ID
01
—
570002669
RAILROAD MEDICARE
ID
01
—
806352700
HEALTHY CONNECTIONS
ID
01
—
D6326
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
07/26/2021
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