DR. Jon Parker Wagnild, MD

NPI #1164459541 in Boise, Idaho

Provider Information

NPI Number
1164459541
Entity Type
Individual
Name
DR. Jon Parker Wagnild, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Nephrology
Credential
MD
Enumeration Date
Jun 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
5610 GAGE ST
Address 2
SUITE A
City
Boise
State
Idaho
ZIP Code
83706-1349
Phone
(208) 367-3370

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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