Consultants In Epilepsy And Neurology, PLLC
Psychiatry & Neurology, Neurology in Boise, ID. Organization (NPI-2).
NPI number1902155773
StatusActive
Last updated in NPPESSep 7, 2012
Details
- NPI
- 1902155773
- Entity type
- Organization (NPI-2)
- Legal business name
- Consultants In Epilepsy And Neurology, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2012
- Last updated
- Sep 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | M9221 | ID | Yes |
Practice location
1499 W. Hays St.Boise, ID 83702-1717
Phone 208-275-8585 · Fax 208-275-8586
Mailing address
1499 W. Hays St.Boise, ID 83702-1717
Phone 208-275-8585 · Fax 208-275-8586
Authorized official
Robert T. Wechsler
Owner
2082758585
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