Zechariah Wilson
Family Doctor Family Doctor - Sports Medicine
1375 N Happy Valley Rd
Nampa
, Idaho 83687-5280
Zechariah Wilson
Family Doctor Family Doctor - Sports Medicine
1375 N Happy Valley Rd
Nampa
, Idaho 83687-5280
(208) 955-6503
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Zechariah Wilson
- Po Box 191050
- Boise, ID
- Zip : 83719-1050
- Fax : (208) 955-6503
- Phone : (208) 955-6500
Second Address
- Zechariah Wilson
- 1375 N Happy Valley Rd
- Nampa, ID
- Zip : 83687-5280
- Fax : (208) 809-2870
- Phone : (208) 809-2869
Reviews
FAQs
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In what state does Zechariah Wilson practice in?
Where is Zechariah Wilson ’s practice located?
What is Zechariah Wilson ’s gender?
Is Zechariah Wilson a sole practitioner?
Is Zechariah Wilson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | M-14112 | ID |
| N | 207Q00000X | Family Doctor | MRM-1581 | ID |
| N | 207QS0010X | Family Doctor - Sports Medicine | M-14112 | ID |
National Provider Identifier
| NPI | 1104274950 |
|---|---|
| Provider Name | Zechariah Wilson |
| First Address | Boise, ID 83719-1050 |
| Second Address | Nampa, ID 83687-5280 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2016 |
| Last Update Date | 17/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1104274950 | (05) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.