Whalio Doctors

NPI 1013335157

Wesley David Pidcock, DO

Practitioner Pulmonary Disease Physician Nampa, ID

Practice location

Address
4400 E Flamingo Ave STE 200, Nampa, ID 83687
Phone
(208) 302-2100
Fax
(208) 302-2125
Mailing address
3340 E Goldstone Dr, Meridian, ID 83642

Registered specialties (4)

Pulmonary Disease Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence O-1353 (ID)
Critical Care Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence O-1353 (ID)
Critical Care Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence 20A15369 (CA)
Pulmonary Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X Licence DO198185 (OR)

Registry record

NPI
1013335157
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Apr 2014
Record last updated
25 Nov 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.