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Anthony Liccini — NPI 1225569551, Boise, ID | NPI Central

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NPI 1225569551

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Anthony Liccini

NPI 1225569551 · Pediatrics Physician · Boise, ID

Provider details

NPI number: 1225569551
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: MD61058990 (WA)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense M-16632 (ID)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense MD61058990 (WA)
Allopathic & Osteopathic Physicians

Practice location

305 E Jefferson St

Boise, ID 83712-6231

Phone: (208) 345-0715

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Additional practice locations (1)

510 W 1st Ave
Toppenish, WA 98948-1564
Phone: (509) 865-5600
Fax: (509) 865-5783

Registry dates

Enumerated: 2017-03-27
Last updated: 2022-08-19
Certified: 2022-08-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.