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Search › Idaho › 208100000X

Glenn Waite, M.D

NPI 1295742948 · on the registry since 2006 · sole proprietor

Practice

Address
232 S Whisperwood Way
Boise, ID 83709
Phone
(208) 350-6450
Fax
(208) 350-6449
Clinicians at this address
2

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
207Q00000X
207Q00000X
207Q00000X
2081P0004X
2081P0004X
2081P0004X
Licence states on file
NV, CA, CO, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho