IndividualActive
Robert Ennis, MD
NPI 1366647729 · Endocrinology, Diabetes & Metabolism Physician · Meridian, ID
Provider details
- NPI number
- 1366647729
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M11309 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1626 Wells Ave
Suite 105
Meridian, ID 83642-4524
Phone: (208) 994-8180
Approximate (ZIP-level) locationGet directions
Mailing address
1626 Wells Ave
Meridian, ID 83642-4524
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2013-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.