Individual provider · Type 1 NPI

John Ullery, MD

Pediatrics Physician · Boise, ID

NPI number 1114975802 Active

Practice location

305 E Jefferson St, Suite 101
Boise, ID 83712-6273

Call (208) 345-0715 Map

Fax (208) 345-1142

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XM-3962 (ID)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1114975802

John Ullery, MD's National Provider Identifier is 1114975802, issued on May 4, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Boise, ID. The record was last updated on Jul 13, 2026.