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Glenn Howard Weyhrich, MD
Gynecology Physician in Boise, Idaho
NPI 1255450649

Glenn Howard Weyhrich is a Gynecology Physician based in Boise, ID and is specialized in Gynecology. Glenn Howard Weyhrich practices in Boise, ID and has the professional credentials of MD. The NPI Number for Glenn Howard Weyhrich is 1255450649 and holds a License No. M3119 (Idaho).

The current practice location address for Glenn Howard Weyhrich is 222 N 2Nd St Ste 206, Boise, ID and can be reached out via phone at 208-342-2516 and via fax at 208-342-1661.

Location: 222 N 2Nd St Ste 206, Boise, ID, 83702-6130
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Provider Profile Details
NPI Number
1255450649
Provider Name
Glenn Howard Weyhrich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 N 2Nd St Ste 206, Boise, ID, 83702-6130
Phone Number
208-342-2516
Fax Number
208-342-1661
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M3119 01 ID IDAHO STATE LICENSE
01602650631 01 ID AMA MEMBERSHIP
13D0521509 01 ID CLIA LAB ID NUMBER
002523800 05 ID
MD1637 01 ID IDAHO CONTROLLED SUBSTANC
000010000709 01 ID REGENCE BLUE SHIELD OF ID
140277 01 OR OMAP OREGON MEDICAID
50120 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
222 N 2Nd St Ste 206
City
State
Zip
83702-6130
Phone Number
208-342-2516
Fax Number
208-342-1661
person
Provider Business Mailing Address Details
Address
222 N 2Nd St Ste 206
City
State
Zip
83702-6130
Phone Number
208-342-2516
Fax Number
208-342-1661
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
M3119 (Illinois)
Definition
Definition to come...
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