Healthcare Provider Details

I. General information

NPI: 1487773701
Provider Name (Legal Business Name): DARIN L. WEYHRICH, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N 2ND ST STE 206
BOISE ID
83702-6130
US

IV. Provider business mailing address

222 N 2ND ST STE 206
BOISE ID
83702-6130
US

V. Phone/Fax

Practice location:
  • Phone: 208-342-2615
  • Fax: 208-342-1661
Mailing address:
  • Phone: 208-342-2615
  • Fax: 208-342-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberM8503
License Number StateID

VIII. Authorized Official

Name: DARIN LEE WEYHRICH
Title or Position: OWNER
Credential: M.D.
Phone: 208-642-2516