Gary J Millward DPM

NPI 1063462075 - Podiatrist - 213E00000X

NPI Details
NPI 1063462075
Gender Male
Enumeration Date 05/11/2006
Last Updated 02/04/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
6051 N EAGLE RD
BOISE ID, 83713-0997, US
Phone (208) 938-4670
Fax
Business Location
190 E BANNOCK
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Idaho
License Number P145
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According to our database, Dr. Gary J Millward DPM NPI is 1063462075, taxonomy code is 213E00000X and license number is P145, license state is located at Idaho. Gary J Millward DPM physically located at 6051 N Eagle Rd, Boise ID, 83713-0997. NPI Number Gary J Millward DPM has the Individual type.

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1063462075 NPI number is provided on an as is basis without warranty of any kind. 1063462075 is maintained by the National Plan & Provider Enumeration System. The contents of Gary J Millward DPM are for informational purposes only.