NPI 1013064641

John M Livingston, MD

Practitioner Surgery Physician Boise, ID

Practice location

Address: 8756 W Emerald St Suite 136, Boise, ID 83704-4831
Phone: (208) 853-3051
Fax: (208) 853-3053

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M5148 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1013064641
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2007
Record last updated: 7 Mar 2023

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.