Individual provider · Type 1 NPI

Donraphael Wynn, MD

Neurology Physician · Boise, ID

NPI number 1396188751 Active

Practice location

1072 N Liberty St, Ste 303
Boise, ID 83704

Call (208) 302-4200 Map

Fax (208) 302-4255

Mailing address

3340 E Goldstone Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X9164199-1205 (UT)
Neuro-ophthalmology Physician 207WX0109X9164199-1205 (UT)
Neurology Physician Primary 2084N0400XM-14403 (ID)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1396188751

Donraphael Wynn, MD's National Provider Identifier is 1396188751, issued on Apr 16, 2013. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Boise, ID. The record was last updated on Nov 13, 2025.