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Search › Idaho › 363A00000X

Michael Housley, PA-C

NPI 1043665789 · on the registry since 2016

Practice

Address
7733 W Emerald St
Boise, ID 83704
Phone
(208) 376-3220
Fax
(208) 939-5010
Organisation at this address
Dermatology Clinic Of Idaho
Mountain West Derm-Blackhart, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
ID, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho