IndividualActive
Glenn Waite, M.D.
NPI 1295742948 · Physical Medicine & Rehabilitation Physician · Boise, ID
Provider details
- NPI number
- 1295742948
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8577 (NV)
Practice location
232 S Whisperwood Way
Boise, ID 83709-4900
Phone: (208) 350-6450
Fax: (208) 350-6449
Mailing address
232 S Whisperwood Way
Boise, ID 83709-4900
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2014-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.