Search › Idaho › 111N00000X

Raymond Flack

NPI 1235641374 · on the registry since 2017

Practice

Address
3405 E Overland Rd Ste 110
Meridian, ID 83642
Phone
(208) 888-4646

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-14

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