Gregory Romaniuk
Family Medicine in Nampa, ID. Individual provider (NPI-1).
NPI number1144246729
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1144246729
- Entity type
- Individual (NPI-1)
- Name
- Gregory Romaniuk
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2006
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M-165550 | ID | Yes |
| 207Q00000X | Family Medicine | TP818 | KY | |
| 207Q00000X | Family Medicine | LL29132 | SC | |
| 207Q00000X | Family Medicine | ME104586 | FL |
Practice location
9850 W St Lukes DrNampa, ID 83687-7912
Phone 208-205-7282
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
9911 Corkscrew Rd Ste 200
Estero, FL 33928-3323
Estero, FL 33928-3323
Phone 239-237-5500 · Fax 888-828-5797
13691 Metro Pkwy Ste 400
Fort Myers, FL 33912-4349
Fort Myers, FL 33912-4349
Phone 239-440-6456 · Fax 239-236-0337
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