SearchIdaho1223P0300X

John Mumford, D.M.D

NPI 1639149057 · on the registry since 2006

Practice

Address
140 E Boise Ave
Boise, ID 83706
Phone
(208) 385-9228
Fax
(208) 385-9292
Organisation at this address
Stephen A. Morris
Periodontal Health Specialists Of Idaho
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-05

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