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Search › Idaho › 363A00000X

Wesley Semonchuk

NPI 1962962118 · on the registry since 2019

Practice

Address
3080 E Gentry Way Ste 210
Meridian, ID 83642
Phone
(208) 384-9022
Organisation at this address
Lyon Medical Llc
Blackmer Podiatry
Nova Collective Llc
Lost River Wellness
Bluebird Hospice, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 3731 N Bottle Brush Ave, Boise, ID
  • 5850 E Still Cir, Mesa, AZ

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
2020-11-11

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