Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN MELVILLE, DO
ActiveEVAN MELVILLE, DO is a Sports Medicine (Pediatrics) healthcare provider located in BOISE, Idaho. NPI 1942867148 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · BOISE, ID
Registration Details
- NPI Number
- 1942867148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2019 (7.2192496918828 yrs)
- Last Updated
- Dec 5, 2025
- License
-
O-1882 (ID)
Practice Information
- Address
-
2619 W FAIRVIEW AVEBOISE, ID, 837026722Browse ID providers · Browse ZIP 83702
- Phone
- 2087069311
- Fax
- 2084894300
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
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.