Whalio Doctors

NPI 1053168435

Zachary a Leckenby, MD

Practitioner Family Medicine Physician Caldwell, ID

Practice location

Address
315 E Elm St # 201, Caldwell, ID 83605-4857
Phone
(208) 514-2528
Mailing address
777 N Raymond St, Boise, ID 83704-9251

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MRM-2417 (ID)

Registry record

NPI
1053168435
Entity type
Individual
Sex (as registered)
Male
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.