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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN R. WAITE, M.D.

Active Sole Proprietor

DR. GLENN R. WAITE, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in BOISE, Idaho. NPI 1295742948 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · BOISE, ID

Registration Details

NPI Number
1295742948
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2006 (20.039535432904 yrs)
Last Updated
Jun 25, 2014
Licenses
8577 (NV)
A38237 (CA)
23679 (CO)
A38237 (CA)
23679 (CO)
Sole Proprietor
Yes

Practice Information

Address
232 S WHISPERWOOD WAY
BOISE, ID, 837094900
Browse ID providers · Browse ZIP 83709
Phone
2083506450
Fax
2083506449
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Spinal Cord Injury Medicine
Additional Specialty
Spinal Cord Injury Medicine

Other Physical Medicine & Rehabilitation Providers in BOISE, ID

Name Credential NPI
DR. MICHAEL R MCMARTIN M.D. 1174526974
DR. VIC KADYAN M.D. 1417950205
DR. RODDE D COX 1417950213
ROBERT FRIEDMAN MD 1457337446
NANCY GREENWALD MD 1831175819
MONTE H MOORE MD 1023094901
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.