JON PARKER WAGNILD

BOISE, ID
NPI1164459541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: ID  M4213)
Enumeration Date2006-06-28
Last Update Date2007-07-08
Business Address
Dr. JON PARKER WAGNILD MD
5610 GAGE ST SUITE A
BOISE, ID 83706-1349
Phone number: 208-367-3370
Mailing Address
Dr. JON PARKER WAGNILD MD
984 W BOGUS VIEW CT
EAGLE, ID 83616-5878
Phone number:
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