Marc Wayne Bostick, MD Valid NPI

Individual provider · Psychiatry Physician · Boise, ID

NPI

1073545703

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

M7712 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-06

Last updated

2021-04-16