NPI 1992312565
Doral Academy Idaho
Practice location
- Address
- 2511 W Cherry Ln, Meridian, ID 83642-1135
- Phone
- (208) 901-8281
- Mailing address
- 6630 Surrey St, Las Vegas, NV 89119-3928
Authorised official
- Name
- Trevor Goodsell
- Title
- Cfo
- Phone
- (702) 431-6260
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1992312565
- Entity type
- Organization
- NPI issued
- 28 Sep 2020
- Record last updated
- 28 Sep 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.