Search › Idaho › 207RE0101X
Robert Ennis, MD
NPI 1366647729 · on the registry since 2007
Practice
- Address
- 1626 Wells Ave
Suite 105
Meridian, ID 83642 - Phone
- (208) 994-8180
- Organisation at this address
- I Can Pt Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-28
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