IndividualActive
Wesley Pidcock, DO
NPI 1013335157 · Pulmonary Disease Physician · Nampa, ID
Provider details
- NPI number
- 1013335157
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- O-1353 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4400 E Flamingo Ave Ste 200
Nampa, ID 83687
Phone: (208) 302-2100
Fax: (208) 302-2125
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642
Registry dates
- Enumerated
- 2014-04-05
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.