NPI 1063462075

Gary J Millward, DPM

Practitioner Podiatrist Boise, ID

Practice location

Address: 6051 N Eagle Rd, Boise, ID 83713-0997
Phone: (208) 938-4670
Mailing address: 190 E Bannock, Boise, ID 83712-6241

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P145 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1063462075
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 4 Feb 2014

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.