Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL DOUGLASS, DO
ActiveSAMUEL DOUGLASS, DO is a Diagnostic Radiology healthcare provider located in BOISE, Idaho. NPI 1063801678 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · BOISE, ID
Registration Details
- NPI Number
- 1063801678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2015 (11.544945434576 yrs)
- Last Updated
- Apr 18, 2025
- Licenses
-
OP61322937 (WA)DO219310 (OR)1539 (NE)OC-0433 (ID)
Practice Information
- Address
-
1055 N CURTIS RDBOISE, ID, 837061309Browse ID providers · Browse ZIP 83706
- Phone
- 2083672121
- Fax
- 7065966720
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ADAM S MAXFIELD | M.D. | 1295705002 |
| BRIAN E GRANVALL | PA-C | 1205809852 |
| DR. RYAN SLAUGHTER | M.D. | 1922077635 |
| DR. MATTHEW POND | M.D. | 1184682551 |
| MRS. JANET M CEGNAR | MD | 1306895016 |
| CODY J. BOYCE | M.D. | 1508816471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.