Organization
DELRAY MAUGHAN, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELRAY MAUGHAN M.D. (PHYSICIAN/OWNER)
(208) 938-5823
Entity
Organization
Contact information
Practice address
13900 W WAINWRIGHT DR STE 101, BOISE, ID 83713-5028
(208) 938-5823
(208) 938-5306
Mailing address
13900 W WAINWRIGHT DR STE 102, BOISE, ID 83713-5028
(208) 938-5823
(209) 938-5306
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M-4908
ID
Other
Enumeration date
06/29/2017
Last updated
08/09/2019
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