Jon Wagnild, MD

NPI 1164459541 · on the registry since 2006

Practice

Address: 5610 Gage St
Suite A
Boise, ID 83706
Phone: (208) 367-3370
Organisation at this address: St Clair Specialty Physicians
Saint Alphonsus Nephrology Center
Idaho Nephrology Associates, L.L.C
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Nephrology Physician
207RN0300X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08
Status: Not present in the most recent federal file

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