NPI 1053360065

Treasure Valley Emergency Physicians

Organisation Emergency Medicine Physician Nampa, ID

Practice location

Address: 1512 12th Ave Rd, Nampa, ID 83686-6008
Phone: (208) 463-5100
Mailing address: PO Box 13309, Philadelphia, PA 19101-3309

Authorised official

Name: Joseph Gatewood
Title: President
Phone: (805) 563-3011

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1053360065
Entity type: Organization
NPI issued: 8 May 2006
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.