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Search › Idaho › 163WP2201X

Leland Tebout

NPI 1356058259 · on the registry since 2022

Practice

Address
500 W Fort St
Boise, ID 83702
Phone
(208) 422-1000
Organisation at this address
Vamc
Boise Vamc
Boise Vamc
Boise Va Hospital
Veteran'S Administration Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
685

Registry record

Primary taxonomy
163WP2201X
163WP2201X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-31

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