IndividualActive
Reuben Hudson, MD FAAP
NPI 1710995295 · Pediatric Urology Physician · Boise, ID
Provider details
- NPI number
- 1710995295
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD FAAP
- Sex
- Male
- Sole proprietor
- No
- License
- 7161277 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-6196
Fax: (208) 381-6199
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 1101 Madison St Ste 800Swedish Pediatric Specialist ClinicSeattle, WA 98104-1306Phone: (206) 215-2700Fax: (206) 215-2702
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.