Individual provider · Type 1 NPI

Jon Parker Wagnild, MD

Nephrology Physician · Boise, ID

NPI number 1164459541 Active

Practice location

5610 Gage St, Suite A
Boise, ID 83706-1349

Call (208) 367-3370 Map

Mailing address

984 W Bogus View Ct
Eagle, ID 83616-5878

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XM4213 (ID)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2 other providers at this address

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About NPI 1164459541

Jon Parker Wagnild, MD's National Provider Identifier is 1164459541, issued on Jun 28, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.