Whalio Doctors

NPI 1063801678

Samuel Douglass, DO

Practitioner Diagnostic Radiology Physician Boise, ID

Practice location

Address
1055 N Curtis Rd, Boise, ID 83706-1309
Phone
(208) 367-2121
Fax
(706) 596-6720
Mailing address
877 W Main St STE 603, Boise, ID 83702-6070

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence OC-0433 (ID)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence OP61322937 (WA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence DO219310 (OR)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 1539 (NE)

Registry record

NPI
1063801678
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jan 2015
Record last updated
18 Apr 2025

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.