Search › Idaho › 207ND0101X
Peter Boothman, M.D
NPI 1588018170 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1618 S Millenium Way Ste 100
Meridian, ID 83642 - Phone
- (208) 884-3376
- Fax
- (208) 884-0858
- Organisation at this address
- Ada West Dermatology, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Also registered as
- 207ND0101X
- Licence states on file
- ID, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-18
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