Search › Idaho › 363A00000X
Addison Wooldridge, PA-C
NPI 1407691835 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9475 W Tillamook Dr # A
Boise, ID 83709 - Phone
- (661) 205-1177
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-27
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