NPI 1013335157
Wesley David Pidcock, DO
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
Critical Care Medicine (Internal Medicine) Physician
Critical Care Medicine (Internal Medicine) Physician
Pulmonary Disease Physician
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.