NPI 1043067424

Mikelle E Mikesell, DO

Practitioner Pediatrics Physician Boise, ID

Practice location

Address: 8610 W Overland Rd, Boise, ID 83709-1645
Phone: (208) 954-8711
Mailing address: 777 N Raymond St, Boise, ID 83704-9251

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MRO-2421 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1043067424
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2024
Record last updated: 2 May 2024

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.