HomeNPI Verification

NPI Verification

National Provider Identifier: 1548482771

Ricky J Axtell, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

3277 E. LOUISE DR., STE. 200

MERIDIAN, ID 83642

Phone: 208-468-5910

NPI Enumeration Date

May 3, 2007

NPI Number

1548482771

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry