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Jeremy Waldram, M.D. — NPI 1396972311, Boise, ID | NPI Central

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NPI 1396972311

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Jeremy Waldram, M.D.

NPI 1396972311 · Allergy & Immunology Physician · Boise, ID

Provider details

NPI number: 1396972311
Entity type: Individual
Primary specialty: Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 01069478A (IN)

Specialties & taxonomies

Allergy & Immunology PhysicianPrimary207K00000XLicense M-15024 (ID)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 01069478A (IN)
Allopathic & Osteopathic Physicians

Practice location

1000 N Curtis Rd Ste 303

Boise, ID 83706-1347

Phone: (208) 377-4000

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1000 N Curtis Rd Ste 303

Boise, ID 83706-1347

Additional practice locations (1)

Naval Medical Ctr
34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone: (619) 216-0466

Registry dates

Enumerated: 2009-06-17
Last updated: 2020-10-27
Certified: 2020-10-27

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