EVAN MELVILLE

BOISE, ID
NPI1942867148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080S0010X Pediatrics, Sports Medicine
(Licence: ID  O-1882)
Enumeration Date2019-05-22
Last Update Date2025-12-05
Business Address
EVAN MELVILLE DO
2619 W FAIRVIEW AVE
BOISE, ID 83702-6722
Phone number: 208-706-9311
Mailing Address
EVAN MELVILLE DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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