William Terry Gipson, M.D. Valid NPI

Individual provider · Psychiatry Physician · Boise, ID

NPI

1174757140

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

M-5771 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-05-06

Last updated

2009-05-06