Search › Idaho › 111N00000X
John Maltby, D.C
NPI 1164805750 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1299 E Iron Eagle Dr
Suite 130
Eagle, ID 83616 - Phone
- (208) 939-6100
- Organisation at this address
- Michael Wellness Ventures Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-24
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