Search › Idaho › 152W00000X
Wendell Fackrell, O.D
NPI 1750678298 · on the registry since 2011 · sole proprietor
Practice
- Address
- 421 N. Cole Rd. Ste 102
Boise, ID 83704 - Phone
- (208) 658-1068
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-06
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