NPI 1639030968

Scott Wilson

Practitioner Other Technician Boise, ID

Practice location

Address: 7512 W Lemhi St STE 2, Boise, ID 83709-2877
Phone: (801) 430-8550
Mailing address: 430 N Station Pkwy APT 554, Farmington, UT 84025-3151

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Idaho →

Registry record

NPI: 1639030968
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2025
Record last updated: 18 Nov 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.