OrganizationActive
Ennis Endocrinology, PLLC
NPI 1902143134 · Endocrinology, Diabetes & Metabolism Physician · Meridian, ID
Provider details
- NPI number
- 1902143134
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Ennis, Physician(208) 994-8180
- License
- M-11309 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2450 E Gala St Ste 100
Meridian, ID 83642-4805
Phone: (208) 994-8180
Fax: (208) 908-4542
Approximate (ZIP-level) locationGet directions
Mailing address
2498 W Timber Dr
Eagle, ID 83616-4665
Registry dates
- Enumerated
- 2013-01-08
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.