NPI 1275940108
Timothy Mavy
Practice location
- Address
- 5513 N Glenwood St, Boise, ID 83714-1334
- Phone
- (208) 375-6600
- Fax
- (208) 375-7558
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1275940108
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2014
- Record last updated
- 19 Jan 2023
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.