NPI 1306829973

Todd Rustad, MD

Practitioner Otolaryngology Physician Boise, ID

Practice location

Address: 900 N Liberty St STE 400, Boise, ID 83704-8704
Phone: (208) 367-3320
Fax: (208) 367-7474

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence M7280 (ID)

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1306829973
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2005
Record last updated: 1 Jun 2010

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.