NPI 1558585455

Michael E. Estess, M. D. Chartered

Organisation Preferred Provider Organization Boise, ID

Practice location

Address: 1471 Shoreline Dr Suite 119, Boise, ID 83702-6879
Phone: (208) 345-2630
Fax: (208) 345-6504

Authorised official

Name: Michael E. Estess
Title: President
Phone: (208) 345-2630

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence M-3173 (ID)

Other Preferred Provider Organization providers in Idaho →

Registry record

NPI: 1558585455
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 22 Aug 2020

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.