Whalio Doctors

NPI 1164439725

Nicholas W. Hodgman, MD

Practitioner Interventional Cardiology Physician Nampa, ID

Practice location

Address
4424 E Flamingo Ave STE 300, Nampa, ID 83687
Phone
(208) 302-0200
Fax
(208) 302-0255
Mailing address
3340 E Goldstone Dr, Meridian, ID 83642

Registered specialties (2)

Interventional Cardiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence M-14705 (ID)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 38352 (IA)

Registry record

NPI
1164439725
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Aug 2006
Record last updated
23 Jul 2019

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.