Whalio Doctors

NPI 1396972311

Jeremy David Waldram, MD

Practitioner Allergy & Immunology Physician Boise, ID

Practice location

Address
1000 N Curtis Rd STE 303, Boise, ID 83706-1347
Phone
(208) 377-4000

Registered specialties (2)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence M-15024 (ID)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01069478A (IN)

Registry record

NPI
1396972311
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2009
Record last updated
27 Oct 2020

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.