IndividualActive
Peter Roan, MD
NPI 1326037342 · Cardiovascular Disease Physician · Nampa, ID
Provider details
- NPI number
- 1326037342
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M6613 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
207 1st St S
Nampa, ID 83651-3703
Phone: (208) 466-7869
Fax: (208) 466-5359
Approximate (ZIP-level) locationGet directions
Mailing address
3310 E Rivernest Ln
Boise, ID 83706-6928
Additional practice locations (1)
- 4424 E Flamingo AveSuite 300Nampa, ID 83687-9306Phone: (208) 302-0200Fax: (208) 302-0255
Registry dates
- Enumerated
- 2005-10-21
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.