Scott Wilson

NPI #1639030968 in Boise, Idaho

Provider Information

NPI Number: 1639030968
Entity Type: Individual
Name: Scott Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 18, 2025
Last Updated: Nov 18, 2025

Practice Location

Address: 7512 W LEMHI ST STE 2
City: Boise
State: Idaho
ZIP Code: 83709-2877
Phone: (801) 430-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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