Search › Idaho › 172V00000X
Samuel Etay
NPI 1417811498 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6269 S Aspiration Ave
Meridian, ID 83642 - Phone
- (970) 449-3655
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-12
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