Healthcare Provider Details

I. General information

NPI: 1407883978
Provider Name (Legal Business Name): WILLIAM R ENGLAND M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E HAWAII AVE
NAMPA ID
83686-6011
US

IV. Provider business mailing address

190 E BANNOCK ST
BOISE ID
83712-6241
US

V. Phone/Fax

Practice location:
  • Phone: 208-463-3234
  • Fax: 208-463-3044
Mailing address:
  • Phone: 208-381-2222
  • Fax: 208-463-3044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM-6772
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: