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William T. Wallick

Physician Assistant · Boise, ID

UnclaimedNPI 1932947769
Primary taxonomy
363A00000X
Enumerated
2024-07-16
Practice location
Boise, ID
Last NPPES update
2026-08-10

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.