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Search › Idaho › 2084N0400X

Donraphael Wynn, M.D

NPI 1396188751 · on the registry since 2013 · sole proprietor

Practice

Address
1072 N Liberty St
Ste 303
Boise, ID 83704
Phone
(208) 302-4200
Fax
(208) 302-4255
Organisation at this address
Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
81

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
207W00000X
207WX0109X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-13

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